The Easton Suburban Water Authority (ESWA) automatic dialing system is being updated for 2010. Our automatic dialing system allow ESWA to deliver automated phone calls, within minutes, to any group, large or small in case of a water emergency.
It is important to us to serve the water needs of all of our customers; however, some customers have special needs that require a continuous water supply for medical, environmental or other needs. In the event that supply is interrupted or there is a need to follow water precautions or restrictions, we may need to contact you immediately.
Please complete Section I of this form for emergency information purposes only. Section II of this form should be filled out only for general purposes.
Company / Customer Name
*
ESWA Account Number #
*
Service Address
*
Municipality
*
Bethlehem Township
City of Easton
Forks Township
Glendon Borough
Lower Nazareth Township
Palmer Township
West Easton Borough
Williams Township
Wilson Borough
City
*
State
*
Zip Code
*
EMERGENCY CONTACT INFORMATION DAYTIME CONTACT INFO 6am – 6pm
Contact information for Emergencies during normal business hours, 6am – 6pm.
Contact Name:
Phone #1:
Phone #2:
Email #1:
Email #2:
EMERGENCY CONTACT INFORMATION AFTER HOURS CONTACT INFO 6pm – 6am
Contact information for Emergencies after normal business hours, 6pm and 6am.
Contact Name
Phone #1
Phone #2:
Email #1
Email #2
NON EMERGENCY CONTACT INFO
Contact information for ESWA if scheduled work is to be performed. Who at your company would we contact to schedule arrangements.
Contact Name:
Phone # 1:
Phone # 2:
Email #1:
Email #2:
