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Step One

Please allow 1-2 business days for processing. Service will be activated between 7:30am and 5:30pm, Monday thru Thursday. On Friday 7:30am and 11:30am. Applications received on weekends or holidays will be initiated on the preceding business day.
Start Date:*
Disconnect Date:*
Old Service Address:*
New Service Address:*
Mailing Address (if different from above):
Email Address:
How Do You Want to Receive Your Bill?
1. Paper
2. Email
3. Both
Applicant:*
Co-Applicant:*
Applicant's Drivers License# and State:*
Co-Applicant's Drivers License# & State:*
Applicant's Birthday:*
Co-Applicant's Birthday:*
Applicant's Phone #:*
Co-Applicant's Phone #:*
I understand that the City requires 1-2 business days notice to connect service.*
1. Applicant
2. Co-Applicant
I understand that I am responsible for all discharges of water on the customer side of the water meter, regardless if the discharge was a result of my actions or in-actions.*
1. Applicant
2. Co-Applicant
I understand that I am liable for any damage to the water meter installed on the property. It is unlawful for anyone to break, damage, tamper with, obstruct or prevent the proper operation of the water meter.*
1. Applicant
2. Co-Applicant
I understand that a violation of any of the offenses listed above will result in additional fees for water lost, damages incurred, and criminal charges may be filed against the customer.*
1. Applicant
2. Co-Applicant
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I. PURPOSE
The CITY OF SAGINAW is responsible for protecting the drinking water supply from contamination or pollution which could result from improper system construction or configuration on the retail connection owner's side of the meter. The purpose of this service agreement is to notify each customer of the restrictions which are in place to provide this protection. The public water system enforces these restrictions to ensure the public health and welfare. Each retail customer must sign this agreement before the CITY OF SAGINAW will begin service. In addition, when service to an existing retail connection has been suspended or terminated, the water system will not re-establish service unless it has a signed copy of this agreement.
II. RESTRICTIONS
The following unacceptable practices are prohibited by State regulations.
III. SERVICE AGREEMENT*
The following are the terms of the service agreement between the CITY OF SAGINAW (the Water System) and you at the address above.
IV. ENFORCEMENT
If the Customer fails to comply with the terms of the Service Agreement, the Water System shall, at its option, either terminate service or properly install, test, and maintain an appropriate backflow prevention device at the service connection. Any expenses associated with the enforcement of this agreement shall be billed to the Customer.
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ID Upload
Upload a Copy of a Government Issued ID.
Upload a Copy of ID Card*
Upload Applicants ID
Upload Copy of Additional Form of ID (if applicable)
Upload the co-applicants ID (if applicable)
Document Upload
Upload a copy of the FIRST PAGE and the SIGNATURE PAGE of either a "Lease Agreement" or "Settlement Statement/Closing Disclosure"
Upload*
Sample Closing Disclosure
Sample Closing Disclosure
Customer's Signature*
Today's Date*
Today's Date

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