Form to Start Service with Western Hills Water District

WHWD Turn On Service Form

Thank you for contacting Western Hill Water District to begin service with us.

Please fill out the form below and one of our customer service representatives will be in touch to finalize your service.

Name(Required)

First Last

Service Address(Required)

Street Address City State ZIP Code

Is the Billing Address different from the Service Address?(Required)

Yes

(if you are moving and need to provide us a new billing address, click 'Yes')

Billing Address

Street Address Address Line 2 City State ZIP Code

Mobile Phone(Required)

Other Phone

Email(Required)

Who is name will service be under?(Required)

Owner

Renter

*If renter, a copy of the lease is required.

Deposit is $300.00 (Call WHWD Customer to provide your credit card number, 209-895-9493)

Additional Comments

Name

This field is for validation purposes and should be left unchanged.