If the meter reader stopped by to read your water meter but could not obtain access to the meter and left a post card, you may use this form to enter the information you would have entered on that card and submit it to the Utility Billing Department. If a reading is not received for this month your bill will be estimated. If you have any questions feel free to contact us.

Enter the date you read your meter :

(mm-dd-yyyy)

Enter your service street address in the space provided below:

  (000 Noble Ln)

Enter your account number in the space provided below:

  (A99-99999-99)

Enter a phone number where you can be reached during the day:

  (330) 000-0000 

Enter the numbers from your meter:

  (123456)