Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Waiver

  1. Electronic Signature Agreement

    I hereby, hereby authorize the City of New Haven to reinstate/turn off services at the given address. I will not hold the City of New Haven or any of its agents responsible if there are any problems because of the reinstatement/disconnect of this water service.

  2. Permissions

  3. Leave This Blank:

  4. This field is not part of the form submission.