4106 Utica Sellersburg Rd
Jeffersonville, IN 47130

 

812.246.5416

812.246.8783 (fax)

Download Documents

These files are in PDF format. Open with Acrobat Reader 8 or higher (Download Adobe Reader for FREE here)
   
Bank Draft / ACH Enrollment Form

Complete this form to have your bill deducted automatically from your bank account. Bring this form along with a voided check to the office during working hours. Document must be signed by home owners.
Membership Agreement 2013 Fill out the form by typing in the fields at the bottom and printing. Bring the form, your drivers license and $100

(Cash, Check or Money Order only)
Schedule of Rates and Charges 2013 Meter rates/charges/fee list
Bill Adjustment Request for Bill Adjustment.
Refund Request Request for refund
Employment Application Print and complete this form before bringing to our office.

 

Please let the office know if you need another form added to the website. . . Thanks.