West Hills Water Company

Apply for water service

Complete your application here, review it, then submit. No account or app needed.

1 Your details
2 Review
3 Confirmation

Applicant information

Fields marked * are required.

Applicant's name *Service location (address or taxlot) *Mailing address, city, state, ZIPOnly if different from the service location.Phone number *

Phone type * (mobile preferred)

MobileLandline

Email address *

Additional water notification contacts

Optional. Add up to two people who should receive water notifications.

Contact 1 / relationshipContact 1 mobile numberContact 2 / relationshipContact 2 mobile number

Property owner information

Property owner is the same as applicant. Use the applicant’s contact information.

If checked, leave the owner contact fields below blank. Otherwise, complete them. The property owner must sign this application.

Owner nameOwner mailing address, city, state, ZIPOwner phone numberOwner email (optional)

Service terms and property owner acknowledgment

In accordance with adopted regulations of the Company, users must give two days notice in writing when requesting a disconnection of service. The user will be held responsible for services rendered until disconnection notice is received. Monthly bills are payable within 30 days of mailing and subject to disconnect of service after 60 days. Payment in full plus a reconnection charge is required on any account disconnect for non-payment.

A back-flow device may be required on any or all water services. The cost of the back-flow device shall be borne by the water user, and/or the owner of the property, along with the costs for annual testing of the back-flow device, its replacement and repair.

I, [property owner name], as the property owner agree that if the applicant, or subsequent applicants, fail to make payments in accordance with the rules and regulations of the West Hills Water Company, I understand and agree that the water bill shall become a charge to me, the owner of the property, and shall become a lien upon the real property.

Property owner’s full name — electronic signature *I am the property owner named above. I have read and agree to the service terms and property owner acknowledgment. By typing my full name and submitting this application, I intend to sign it electronically.

If you are a tenant and the owner is not available to sign, use the PDF application to obtain the owner’s signature.

Download PDF instead

Nothing is submitted until you review and press Submit Application. Information is kept in a temporary server session while you complete the form. No customer account is created.