Continuous Service Agreement Form

Legal Name of Owner/Property Manager (required)

Mailing Address (required)

Phone Number (required)

Secondary Phone Number

Email (required)

Property Address to be included (required)

Additional Property to be included

Owner: Upload current government issued ID (required)

Property Manager: Attach a copy of the agreement between the owner and property manager

Joshua Basin Water District will leave the water service on in the owner/property manager’s name from the time the tenant requests termination until a subsequent tenant has established service. (required)

Yes, I agree.

Owner/Property Manager is responsible for informing new tenant(s) of their need to establish service with Joshua Basin Water District at the time of occupancy. (required)

Yes, I agree.

Upon receipt of the tenant’s Request to Disconnect Service, service will be terminated on the requested date or no later than two (2) working days after receipt of the request. The meter reading taken on the date of termination of tenant service will be used to bill the terminating account and as the read to start billing owner/property manager. (required)

Yes, I agree.

When simultaneous requests are received from the current tenant to disconnect service and from the new tenant to start service, the account will pass from the current tenant to the new tenant without billing to the owner/property manager. (required)

Yes, I agree.

This Agreement does not prevent termination of service due to a tenant’s or owner’s nonpayment of bills. (required)

Yes, I agree.

This Agreement remains in effect until revoked in writing by the owner/property manager. Termination of service due to non-payment by the owner/property manager will void this agreement. (required)

Yes, I agree.

This Continuous Service Agreement shall become effective within 30 days after receipt by Joshua Basin Water District. (required)

Yes, I agree.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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