MCSD Application for Water/Sewer Service

Please complete the fields below. The information will be encrypted and sent to the MCSD inbox and a staff member will reach out to at the primary phone number you list to discuss applicable fees for starting service. Note: Deposit ($60-$120 per dwelling unit, refundable, if applicable) and processing fees ($20-44 non-refundable) must be paid before water can be turned on and service begins. If it is after 3:00 p.m. and you need same day service, please contact the office at (707) 839-3251, option 1.

Do you currently have active service with MCSD? (required)

Yes

Type of Service (required)

Residential

Commercial/Business

Name to appear on bill (required)

Service Address (required)

Mailing address (if different)

Do you own this property? (required)

Yes

E-mail address (required)

Date of Birth (required)

Phone Number (required)

Last 4 of SSN (required)

Employer (required)

Driver's License State (required)

Drivers License # (required)

Secondary contact other than yourself (NAME) (required)

Secondary Contact's Phone Number (required)

I, the undersigned, hereby request that the MCSD deliver utility services to the address listed above. I do hereby agree to comply with the applicable provisions of the Rules and Regulations and the standard specifications of the MCSD, copies of which are available upon request. (required)

Agree

Signature (Typed Name) (required)

Date you would like service to begin (required)

Please upload image or PDF of lease agreement or proof of ownership. (required)

Other information we should know? (not required)

There was a problem saving your submission. Please try again later.

Please wait while your submission is being saved...

Thank you, your submission has been received.

Sign up for updates from McKinleyville Community Services District

Website Accessibility Statement