Forms

General Forms

• AutoPay Authorization Form (PDF) - AutoPay allows Cross Valley Water District (CVWD) to withdraw the amount due on the 20th day of the month following the billing date from the customer’s checking or savings account.
• Email Billing Request (PDF) - Use this form to request that your bill be sent via email rather than postal mail or via both email and postal mail.
• Fire Hydrant Meter Use Agreement (PDF) - This form is used to request a fire hydrant meter rental.
• Public Records Request (PDF) - Use this form to make an identifiable public records request.

Duplicate Billing Forms

• Duplicate Bill Resident Form (PDF) - Use this form to request that a duplicate bill be sent to a resident of a serviced property.
• Duplicate Bill Property Manager Form (PDF) - Use this form to request that a duplicate bill be sent to a property management company for an address other than the service address.
• Representative Billing Form (PDF) - Use this form if you want to designate an owner’s representative. This form needs to be notarized, which can be done free of charge at the Cross Valley Water District office.

Account Change Forms

• Address Change Request (PDF) - Use this form to request that your mailing address be changed.
• Name Change Request (PDF) - Use this form to request that your name be changed.
• Water Account Status Change Form (PDF) - Use this form to request your meter be locked or removed entirely.

Inquiry Forms

• Sewer Service Inquiry Form (PDF) - Use this form to inquire about the cost of sewer service, if available to a parcel or property. 
• Water Service Inquiry Form (PDF) - Use this form to inquire about the cost of service, if available to a parcel or property.

SUBMIt completed forms by:

Email

Fax:
360-668-9634

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

Additional instructions may be included in the form itself so please read each document carefully.