New Service Application

All fields required.

For customers who have paid for new services over the phone, please fill out and return. The information below will be your acknowledgement of a contract with LAN-DEL Water District for your water services. I understand that water supplied under this contract is furnished subject to rules and regulations of the waterworks department.

Applicant Information

Full Name or Business Name

Phone

Email Address

Service Address

Street Address

City

State

ZIP Code

I own this property

Desired Start Date

If water service is currently off, someone must be present at the property when service is restored.

Billing Address

Same as service address

Street / PO Box

City

State

ZIP Code

Property Owner / Landlord

Name

Phone

Owner contact information unavailable

A photo of your driver’s license is required to complete your application. Once we receive your driver’s license, a member of our team will be in touch to confirm your application and discuss next steps. Please email a photo to office@lan-del.com.