Water Connection/Disconnection Form

If you wish to download and fax in the Water Service Connection/Disconnection form, please click here.

Company name*
Contact Name*
First Name Last Name
Phone*
Cell
Email*
Service address*
Street Address Address Line 2 City Province Postal Code
Service required*
- Connection
- Temporary Disconnection
- Final Disconnection
- Fire Hydrant Meter Installation
- Fire Hydrant Meter Removal
A fee of $150.00 will be charged to: - Connect and/or disconnect the water service for any reason - Install and/or remove a temporary meter and backflow device on a Fire Hydrant (a completed Water Meter Service & Billing Application form [UT001] and deposit will be required. - Any other work that the R.M. of Sherwood No. 159 is required to perform.
SUBMISSION AGREEMENT*
- I hereby certify that the information provided is correct and that I have read and understood the conditions to water service as offered by the RM of Sherwood No. 159.