Request to Reestablish Service NOTE: This form is for only if you have already had an account at this address in the past and need to reestablish service there. If you are needing service in your name at an address where you have not had service before, you must fill out our Application for Residential Service. If you are needing to reestablish your irrigation service, please fill out our Seasonal Irrigation Form.Today's Date *Customer Number (if known)Last Name on Account *Or if a business name, put the business name in both the last name and first name fields.First Name on Account *Service Address *City *State *Zip Code *Mailing Address *Bills will be mailed to you monthly. Bills will also be sent to the email address provided on the application.City *State *Zip Code *Requested Date of Service *Applications should not be filled out more than two weeks ahead of your requested date of service.Last 4 Digits of Social Security Number or Tax ID *Please enter up-to-date contact information to be stored on the account:Primary Phone Number *Secondary Phone NumberEmail Address *Bills will be sent monthly as e-bills to this email address. They will also be sent as paper bills to the mailing address provided on this application.I understand that the LCWSA office will assess a fee that I will owe for reconnecting this service.Submit