Water Service Line Questionnaire Name(Required) First Last Contact Number(Required)Account Number | Only the numbers left of the dash(Required)Service Address(Required)Meter(Required)What year was the house built?Enter 4 digit year (Ex: 1950)Have you replaced the water service line?(Required) Yes No If Yes, when?(Required) MM slash DD slash YYYY If you have replaced the water service line, what pipe material was utilized (copper or plastic)?Was the water service line replaced to the meter? Yes No If you have not replaced the water service line, have you or a plumber excavated it for a repair? Yes No When was the water service line excavated?(Required) MM slash DD slash YYYY What pipe material was discovered with the water service line excavation (lead, galvanized/steel, copper or plastic)?(Required) Δ
