Environmental Services Forms

Reactivation of Service Application

Owner Reactivation of Service Application for Utility Service

Owner Information

Owner Name(s) on Accout: *

Cell Phone: *

Daytime Phone:

Email:

DL State

Driver's License #

Service Address

Address: *

City:

Zip:

Subdivision:

Mailing Address

Address *

City

State

Zip

I give Seminole County Water & Sewer department permission to automatically reactivate services in my name after each termination of services made by tenant(s).
I understand it is my responsibility to complete a stop service request form when a tenant moves into the property or if I want to discontinue the reactivation of services.
I understand it is my responsibility to notify Seminole County Water & Sewer Department if I sell the property and to terminate this service request.

There will be a $30.00 service charge on your first bill to cover maintenance and administrative costs related to opening your account.

(Enter Name to Acknowledge Above Statement)

Signature *

Date *