Starting Water Service

Starting Water Service

***Please note, all fields must be filled out.  If not applicable please enter NA.  Thank you. 

Name:   Address:

City:   State:   Zip:

Mailling Address if Different:  

City:   State:   Zip:

Driver's License or Social Security Number:  Date of Birth: 

Home Phone:   Cell Phone:

Email Address:

Name of Employer:   Number of Occupants:

Owner or Renter: 

Enroll in Paperless Billing via Email:

Receive Utility Notifications:

Date to Start Service:

***Please Note***

A deposit of $200 is required of all new Cotati residents in addition to a $35 non-refundable administrative services fee.  This deposit and initial fee will be added to the first bill service.

Please initial for acknowledgement: 

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