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Requested By
First Name: * Required
Telephone: * Required
Last Name: * Required
Email: * Required
Enter Email Confirm Email
Have you had service with OMWD before?
- Yes
- No
Previous Address
Street Address City ZIP / Postal Code
One of our customer service representatives will contact you within two business days of receipt of this request.

Please note that two forms of personal identifying information, including, but not limited to, a social security number, date of birth, government-issued driver license or identification number, and/or a government passport number are required to establish service.

OMWD cannot accommodate same-day, holiday, or weekend service requests.
Service Address
Service Address * Required
Street Address City ZIP/Postal Code
Start Date
Start Date:
Month:
Day:
Year:
Owner/Tenant:
- Owner
- Tenant
Close of Escrow
Close of Escrow Date:
Month
Day
Year
Billing Address
Same as Service Address
- Same as Service Address
First Name(s): * Required
Last Name: * Required
Address * Required
Street City State/Province/Region ZIP/Postal Code
E-mail: * Required
Telephone: * Required
Alt. Telephone:
For your security, OMWD will not discuss your water account with individuals not listed on the account. Additional responsible party names should be supplied in the comments field below.
Owner's Address
First Name:
Last Name:
Mailing Address
Street Address City State / Province / Region ZIP / Postal Code
Telephone:
Email:
Additional Comments
Comments: (150 Characters Max)
A non-refundable fee of $25 to establish new service will be charged on the first bill statement. Tenants must pay a deposit of $200 to establish service. The deposit will be charged in installments of $50 on the first four bill statements. The deposit will be applied to the closing bill and overpayments will be refunded at that time. Terms and conditions of service can be found in Article 9 of our Administrative and Ethics Code, which is available at www.olivenhain.com/code. * Required
A non-refundable fee of $25 to establish new service will be charged on the first bill statement.

Tenants must pay a deposit of $200 to establish service. The deposit will be charged in installments of $50 on the first four bill statements. The deposit will be applied to the closing bill and overpayments will be refunded at that time.

Terms and conditions of service can be found in Article 9 of our Administrative and Ethics Code, which is available at www.olivenhain.com/code.
* I acknowledge the above terms and attest that the information I have provided is true and correct to the best of my knowledge.
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Start Service

Requested By

Service Address

Start Date

Start Date:

Close of Escrow

Close of Escrow Date:

Billing Address

Owner's Address

Additional Comments

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