Forms

New Service Application

Every new CHWD customer is required to complete a New Service Application
Click here to download the New Service Application

Closing Account Application

The Closing Account Application provides CHWD with important information, including forwarding address for final bills, dates for when water service is requested to be shut off and more. It also provides the customer with critical information, including potential impacts to water heaters, pools and more if the water is shut off.
Click here to download the Closing Account Application

Owner/Tenant Agreement

Property owners wanting to have the District bill their tenants directly for water service must submit this written agreement.
Click here to download the Owner Tenant Billing Agreement

Owner/Management Billing Agreement

Property owners wanting to have the District bill a property management company directly for water service must submit this written agreement.
Click here to download the Owner/Management Billing Agreement

Commercial Owner/Business Tenant Billing Agreement

Commercial property owners wanting to have the District bill a tenant directly for water service must submit this written agreement.
Click here to download the Commercial Owner/Business Tenant Billing Agreement

Third Party Billing Agreement

Special circumstances under which third party will be billed directly for water service on behalf of the Property Owner must submit this written agreement. Deposit required as well.
Click here to download the Third Party Billing Agreement

Autopay Program Authorization Agreement

Customers looking for a convenient way to pay their water bill can sign up for the District’s Autopay Program and have payments for their CHWD water bill automatically withdrawn from their checking or savings account.
Click here to download the Autopay Program Authorization Agreement

Autopay Program Cancellation Form

Signed up for Autopay and need to cancel your participation in the program? Download and complete this form and submit it to the District to withdraw from the Autopay Program.
Click here to download the Autopay Program Cancellation Form

Hydrant Meter Permit

Most construction projects and activities requiring water from a fire hydrant in the District require a Hydrant Meter Permit, including placement by the District of a construction water meter. A refundable security deposit is required for the use of the meter. In advance of your project, please contact the District to schedule an appointment to determine your water needs.
Click here to download the 2017 Hydrant Meter Permit

Construction Water Permit

In cases where a fire hydrant is not available or placement of a construction water meter is not possible, a Construction Water Permit may be used to provide water for construction purposes. In advance of your project, please contact the District to schedule an appointment to determine your construction water needs.
Click here to download the 2017 Construction Water Permit

Fire Flow Request

Projects that require calculation of fire flows for fire district approval may use this Fire Flow Request form to request the District to perform this work using its hydraulic model.
Click here to download the 2017 Fire Flow Request

Application for Employment

Interested in employment with Citrus Heights Water District? (link to jobs page) Application for Employment forms must be submitted via mail or delivered in person to the District Office. Applications submitted via fax or electronic mail are not accepted.
Click here to download the Application for Employment