2. 

3. 18631 SE 300th Place 

   Covington, WA 98042

   Phone: 253-631-0565 

   Fax: 253-630-4825

5. New Tenant Information

7. All Covington Water District accounts are required to be in the name of the legal property owner.

   The District does not bill renters, only owners. For non-owner occupied residences, reminder and disconnect notices are mailed to the service address in the name of "Resident".
   
   At the owner's request a copy of the bill can also be mailed to "Resident" at the service address. Please note that the District reads residential meters every two months for billing. If your tenant moves in or out in the middle of the billing cycle we do not read the meter or create a prorated bill. However, the District will help you prorate an amount if you or your tenant reads the meter and calls the District during business hours.
   
   If the property is served by two meters, then both meter readings need to be called in. A Customer Service Technician will then give you a verbal estimate based on the reading(s) called in.

9. OWNER'S INFORMATION

11. Legal Owner's Name*
12. Account Number
14. Service Address*
16. Phone Number*
17. Email Address*
19. Mailing Address*
21. City*
22. State*
23. Zip Code*
25. Would you like a duplicate billing to be sent to the property address:*

    1. Yes
    2. No

    Duplicate copy of billing will be marked "Resident"

27. TENANT'S INFORMATION

29. Tenant Move-In Date?*
    Tenant Move-In Date?
30. Name of Tenant(s)*
32. Tenant's Email Address*
33. Tenant's Phone #*

35. SUBMISSION INFORMATION

37. Property Owner Signature*

    1. By checking the box you attest that you have read the above statement and the information you've provided is correct.
38. Date*
    Date
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field