Property Owner Authorization Form

Date (required)

Property Owner's Name (required)

Property Owner's Mailing Address (required)

Property Owner's Phone Number (required)

Property Owner's email address (required)

Rental Service Address (required)

Renter's Name (To whom you are authorizing water service.) (required)

Rental Agreement Start Date (required)

I am the property owner of the service address listed above. In addition, I understand that per the Central Water District Rules and Regulations I am ultimately responsible for all water charges made against my property, even if I do not occupy the premises or I am not the primary water user. Therefore, I hereby guarantee payment of all water charges for the above service address.

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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