Set up/Terminate Water and/or Sewer Service RequestWhat Would You Like to Do? (required)Start serviceStop serviceStart/Stop Service Date (required)Customer Type (required)OwnerTenantLandlord/Property ManagementApplicant Type (required)IndividualBusiness/Organization/OtherApplicant Name (Individual or Business Name) (required)Date of Birth (required)Are You a U.S. Military Veteran?YesNoEmployer (required)Driver License Number (required)Driver License Expiration (required)Phone Number (required)Additional Phone Number (optional)EmailEmergency Contact Name (required)Emergency Contact Phone (required)Service Street Address (required)Mailing Address (if different from service address OR for final bill)Mailing Address CityMailing Address StateMailing Address Zip CodeComments/Questions?Certification - Please type your name in lieu of a signature. "By signing I certify that the information provided is complete and accurate, and that I agree to comply with the current Rules and Regulations of Green Area Water & Sanitary Authority related to utility services provided by the Authority." In addition, the Authority will need proof of identity through providing a SSN and driver license or state ID. In addition, the customer will have to provide a signature or e-signature to certify their application. Authority staff will contact the customer to coordinate the receipt of this information. (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.