New Services Inquiry

Applying for New Water Service

Thank you for applying to Aquarion Water Company for water service. Please fill in the pertinent information.

Upon submitting this form you will receive an email confirmation and your request will be reviewed.

Property Address

Requestor's Information

(We will never disclose your email address)
Please specify

Property Owner's Information

Intended Use Of This Property

Property Type

(Please check all applicable boxes)

Please choose a type of Residential

New Service Request

What are your Needs

(Please check all available boxes)

Building Information

Does the building have frontage on a State Road? (i.e., State Route 25 aka Main Street, Monroe)
Feet
Bedroom(s)
GPM
Feet
Feet
Floor(s)
Unit(s)
Is there an existing building?
Is the building being demolished?

Well Information

Is this property currently on a well?
Has the well failed?
Do you plan to keep the well?

Attachments Including Maps, Pictures, Drawings and Sketches (Optional)

Comments (Optional)

Note: * Indicates required fields