Application for water service

Need to sign up for water service? It’s simple. Just complete this online form to send us an electronic request for new water service. We’ll be in touch with you soon to make the necessary installation or activation arrangements. Note: A new water service application must be submitted whenever there is a change of tenant and/or owner.

Type of Service:

Residence Business Industrial Facility

 Fire Protection

 Public
Requested Service Activation Date:     (required notice – 5 days)


Primary Account Holder Information
First Name:


   Last Name:

Home Phone:


   Email:

Cell Phone:


   Business Phone:


Secondary Account Holder Information
First Name:


   Last Name:

Home Phone:


   Email:

Cell Phone:


   Business Phone:


Service Address

Address:

City:


   State:


   Zip:


Additional Information

Will you reside at this service address?   Yes    No

If no, where would you like this water bill to be sent?

Address:

City:


   State:


   Zip:

Do you own or rent this property?   Own   Rent

Is anyone living at the service address on life support or in critical need of a continuous water supply for some other medical reason?    Yes   No

If yes, click here to register as a Critical Care Customer.

Are there any special considerations for the meter reader? (unusual meter location, protective pets, etc.)

Is there any other information ESWA should know about this service location?

Note: Easton Suburban Water Authority reserves the right to request a deposit from any applicant for water service. The deposit is an amount equal to the estimated gross bill for any single billing period plus one and one-third times the normal billing cycle usage monthly or quarterly, or a minimum deposit of $100.

Click to review ESWA security and privacy policy