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.

Application for Water Service

  1. Application for Water Service
  2. This Property Will Be:
  3. *Address must be withing the Village of Schiller Park, IL*

  4. Status of the Property at the Time of the Service
  5. Street, City, State, Zipcode

  6. I understand that signing this agreement requires me to abide by and accept all applicable Village ordinances and regulations (primarily contained in Chapter 53 of the Village’s Municipal Code) relating to receiving water service, the payment for such service, and the use of the potable water provided.

    I further understand that I am responsible, as the owner of the above referenced premises, for all outstanding and/or past due fees and costs relating to the provision of water service to the above referenced premises, including but not limited to the costs of water service, sewer service, and meter installation or repair, regardless of whether these fees are for services provided when I was the owner of the above referenced premises.

    I further understand that I must pay these fees in full before water service at the above referenced premises can be commenced or resumed under my name.
  7. Leave This Blank:

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