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Water & Sewer Service Account Application

  1. I confirm that all above information is true and correct and acknowledge my responsibility for payments on this account. I agree to abide by and accept all provisions of the Village Code governing the use of the village water and sewer services.

  2. Terms of Acceptance:*

  3. Please type your First and Last Name.

  4. * Billing cycle is every two (2) months.

  5. * Charges are based on actual water consumption, unless we are unable to obtain an actual reading.

  6. * The Village of Lombard bills for water and/or sewer only. Refuse/recycling accounts must be set up through Waste Management Services at 1-800-796-9696.

  7. Acknowledgement of Important Information:*

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  8. Leave This Blank:

  9. This field is not part of the form submission.