Forms and Documents
To download any of the following forms or documents (forms have the lighter colored titlebar and documents the darker), click the name of the form in which you're interested. You can save the form or document to your computer or open the form in your browser and print it from within your browser. Completed forms can me mailed to:

Cross Valley Water District
8802 180th St SE
Snohomish, WA 98296-4804

Additional instructions may be indcluded in the form itself so please read each document carefully. You will need the Adobe Reader to view the forms and documents on this page. If you don't have the reader, you can install it by clicking on the image below.
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2014 AutoPay Authorization Form PDF icon

AutoPay allows Cross Valley Water District (CVWD) to withdraw the amount due on the 10th day after the bill date of the current billing from the customer's checking or savings account.

Contractors Application PDF icon

Cross Valley Service Area Map PDF icon

This document shows the area that the Cross Valley Water District Services. The service area is outlined in green. (Note: this is a larger PDF file so it may take longer to download on slower connections.)

Duplicate Bill Form PDF icon

Use this form to request that a duplicate bill be sent to a resident of a serviced property. This form needs to be notarized which can be done free of charge at the Cross Valley Water District office

Fire Hydrant Meter Use Agreement 2014 PDF icon

This form is used to request a fire hydrant rental.

Public Records Form PDF icon

Use this form to request public records from the Water District. Non-commercial use only.
Cross Valley Water District's Public Records Officer is Gary Hajek. He can be reached at the District's number 360-668-6766.

Request for Billing via Email PDF icon

Use this form to request that your bill be sent via email rather than postal mail or both email and postal mail.

Water Service Inquiry Form PDF icon

Use this form to inquire about the cost of service for your home or business.

Sewer Service Inquiry Form PDF icon

Use this form to inquire about the cost of servicing a sewer.

Water Account Status Change Form PDF icon

Use this form to request your meter be locked or removed entirely.

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