Temporary Service Agreement
Account Number
(Required)
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
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Armed Forces Americas
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State
ZIP Code
Email
Phone
(Required)
Temporary Service Consent
(Required)
I understand that my water service located at the address provided will be considered temporary service until I provide the following documents to the office of Riverside Special Utility District. I also understand that Riverside Special Utility District is allowing me (15) working days to provide this information or at that time my service will be discontinued and all pertinent fees will apply.
I agree to the temporary service policy and consent to the terms.
Documents
Service Application & Agreement
Right of Way Easement
Proof of Occupancy (Deed of Trust, Warranty Deed, HUD 1, Rental or Lease Agreement)
Other
Upload Supporting Documents
Max. file size: 499 MB.
Accepted file types: jpg, png, pdf, heic, Max. file size: 100 MB, Max. files: 5.
Signature
(Required)
Use your finger or mouse to sign this agreement. Please note that electronic signatures are binding.
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