Water Owner Application

Business Office/Water Department

Payments
water, tickets, etc.

Agendas & Minutes
Keep up to date

Forms, Permits & Applications
submit your information

Who to Call?
review our directory

FAQ
get help with your questions

City Resources
phone numbers and links

Macomb, Illinois

* Please contact the Water Department Business Office to schedule an appointment to have your water service turned on*

Office hours are Monday-Friday, 8 AM – 5 PM. Customers request for service must be made before 2:30 PM to guarantee same day service.
Note: The Water Department is closed holidays

"*" indicates required fields

Applicants Name*

First Last

Phone*

Work Phone Number

Social Security Number*

Upload Image of Drivers License*

Max. file size: 10 MB.

Service Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Previous Address - Only fill in if previous address was in Macomb, if not then leave blank

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Mailing Address (if different than Service Address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

In case of emergency, contact:*

First Last

Emergency Contact Phone Number*

Paperless

I would like to be paperless

Email*

Automatic Bank Statements

Fill out information below if you would like to sign up for auto bank statements

Bank Statements

I would like to sign up for auto bank statements.

Name of Banking Insitution

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What type of account is this?

Checking

Savings

Routing Number

Checking Number

Property Manager/Agent

Fill out information below if this address has a property manager / local agent

Agent/Property Manager

Agent/Property Manager First Name Agent/Property Manager Last Name

Agent/Property Manager

Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

As the owner of the property at the address above, I request the water be turned on at the above service address on:*

The above-named owner has registered me as the local agent, as required by city ordinance, and I requesting the water to be put in the owner's name on

**PLEASE CALL THE BUSINESS OFFICE TO CONFIRM IF AN APPOINTMENT TIME IS NECESSARY FOR TURNING ON WATER

Today's Date*

Owner's Signature*

Agent's Signature

I verifiy that I have received a copy of the business office policies and procedures or the form (initial below)*

City of Macomb Business Office 309-833-2031 | PO Box 377 Macomb IL 61455 | waterclk@cityofmacomb.com

CAPTCHA

This field is for validation purposes and should be left unchanged.

Business Office/Water Department

Macomb, Illinois