Name Change Form For Renters
Meter deposit fee for renters
are $150.00.
Handy Sanitary District (HSD)
bills once a month. Water meters are
read at the middle of the month, with bills being mailed out at the end of the
month or the first of the next month. There is a $25 late fee assessed to any bill
not paid by the due date. If you get 30 days behind in your payments, and do
not pay the previous month’s bill by the due date of the current bill, you will
be placed on the cut-off list. If we cut
your water off and lock your meter, it will cost $50.00, plus the total amount
of the bill, to reconnect during regular hours.
To sign up for service,
please send a signed copy of this form, check or money order for the deposit, a
copy of your driver license, and a rent receipt to us at:
Handy Sanitary District
In order to complete this
application, we need to verify the previous renter or the complete street
address with applicable lot number(s).
I have read this statement
and agree with everything contained herein.
DATE:
____________________________
NAME(S) FOR ACCOUNT:
__________________________________________________
BILLING ADDRESS:
_______________________________________________________
_______________________________________________________
PHYSICAL ADDRESS:
_____________________________________________________
(IF DIFFERENT)
_____________________________________________________
PHONE NUMBER(S):
______________________________________________________
______________________________________________________
DRIVER LICENSE # (S):
____________________________________________________
____________________________________________________
SIGNATURE(S):
___________________________________________________________