|
Forms
New Service Application: $30
Every new CHWD customer is required to complete a New Service Application and pay a $30 application fee. The fee covers the cost for setting up the new account.
Click here to download the New Service Application
Closing Account Application: No Fee
The Closing Account Application provides CHWD with important information, including forwarding address for final bills, dates for when water service is requested to be shut off and more. It also provides the customer with critical information, including potential impacts to water heaters, pools and more if the water is shut off.
Click here to download the Closing Account Application
Owner/Tenant Agreement
Property owners wanting to have the District bill their tenants directly for water service must submit this written agreement.
Click here to download the Owner/Tenant Billing Agreement
Owner/Management Billing Agreement
Property owners wanting to have the District bill a property management company directly for water service must submit this written agreement.
Click here to download the Owner/Management Billing Agreement
Commercial Owner/Tenant Billing Agreement
Commercial property owners wanting to have the District bill a tenant directly for water service must submit this written agreement.
Click here to download the Owner/Management Billing Agreement
Electronic Funds Transfer (EFT) Service Authorization Agreement
Customers looking for a convenient way to pay their water bill can sign up for the District’s Electronic Funds Transfer Service and have payments for their CHWD water bill automatically withdrawn from their checking or savings account.
Click here to download the Electronic Funds Transfer Service Authorization Agreement
Backflow Assembly Test Report Form
The Backflow Assembly Test Report Form is provided for use by certified backflow assembly testers for submitting test results to the Citrus Heights Water District.
Click here to download the Backflow Assembly Test Form
Application for Employment
Interested in employment with Citrus Heights Water District? (link to jobs page) Application for Employment forms must be submitted via mail or delivered in person to the District Office. Applications submitted via fax or electronic mail are not accepted.
Click here to download the Application for Employment
Need help viewing these documents?
In order to view these documents, your Web browser will need to have a plug-in or helper program called Adobe Acrobat Reader. If you don't have this program, you can click here to go to the Adobe Web page where you can download a free copy of this program. Once you've installed and configured Reader, just click on the document above and Reader should automatically load and view the file.
|
 |

|
|
|
|