Forms
This page contains some common forms that are used by BPSUD. For your convenience, each form is supplied .PDF format. The .PDF format requires you to have Adobe Acrobat Reader installed on your computer. Adobe Acrobat Reader is free for everyone to download from the Adobe website.
Click on the image to download Adobe Acrobat Reader.
Simply follow the onscreen instructions on the Adobe Website (www.adobe.com)
For New Construction:
Service Application (2 Pages)
This form is for requesting a new water service connection.
Application for Temporary Service (1 Page)
This form is in addition to the Service Application for a brand new construction (recently constructed building never before receiving water service). Must be submitted with the above Service Application.
Application for Temporary Service
Utility Easement (1 Page)
This form is used to grant a land easement to BPSUD to install and maintain water lines and meters. This form is required for all new water service customers.
Early Notification / Identity Theft Protection Form (1 Page)
This form is used to inform BPSUD of phone numbers / email addresses to contact you for our Early Notification System. Also the Identity Theft Protection Information portion is a question that a Customer Service Representative can use to verify your identity when you call about information concerning your account. This form is required for all new water service customers.
Early Notification / ID Protection Form
For Existing Service:
Service Application (2 Pages)
This form is for requesting a new water service connection.
Utility Easement (1 Page)
This form is used to grant a land easement to BPSUD to install and maintain water lines and meters. This form is required for all new water service customers.
Early Notification / Identity Theft Protection Form (1 Page)
This form is used to inform BPSUD of phone numbers / email addresses to contact you for our Early Notification System. Also the Identity Theft Protection Information portion is a question that a Customer Service Representative can use to verify your identity when you call about information concerning your account. This form is required for all new water service customers.
Early Notification / ID Protection Form
Other Forms:
Automatic Payment Authorization (1 Page)
This is an authorization form to give BPSUD permission to draft your bank account for water service payment.
Automatic Payment Authorization
Change of Address Form (1 Page)
This is a form to request a change in mailing address for bills.
Confidentiality Request Form (1 Page)
This form is to request certain information regarding your account to be confidential.
Public Information Request Form (1 Page)
This form is to request information from BPSUD to be released to you pursuant to the Public Information Act.
Public Information Request Form
Service Termination Request Form (1 Page)
This form is for requesting a disconnection of your existing water service.
Service Termination Request Form
Duplicate Billing Form (1 Page)
This form is for requesting a duplicate bill to be mailed each month to another person. A fee applies for this service.
Duplicate Billing Request Form
Developer Packet (16 Pages)
This packet is designed to assist developers that would like to apply for water service to a new subdivision. The packet includes the steps to follow and the application that will need to be submitted with plans and a fee for engineering review.
Requirements for RV Parks (1 Page)
This form is for requesting service for an RV Park. The form details requirements and meter sizing, per number of sites.