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Customer Service Forms

For your convenience we have provided forms in PDF format which you can view and print.

Automatic Utility Pay Form

Hydrant Meter Forms

Water Leak Report Form

Indirect Discharge / Truck Hauled Waste Form

Information On Using These Forms


Automatic Utility Pay Form

  • Utility Pay FormRequires Acrobat Reader
    This form is for customers to have utility payments automatically drafted from a bank account.
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Hydrant Meter Forms


Water Leak Report Form


Truck-Hauled Waste / Indirect Discharge Form

See also: Food Service and Industrial and Strong Waste Forms, and Department of Public Utilities Building Permit Requirements


Information On Using These Forms

  1. Click on a form title listed above.
  2. While viewing the form, Select Print from the File menu.
  3. Fill-in required information on the printed form.
  4. Hand-carry or Mail the completed form accompanied by a check or money order for any applicable fee(s) to our office:

    Public Utilities
    P.O. Box 470
    7516 County Complex Road
    Hanover, VA 23069-0470

Questions Or Comments

Call (804) 365-6024, Fax (804) 365-6245, or Email us: PublicUtilities@co.hanover.va.us

 

     

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Hanover County, P.O. Box 470, 7497 County Complex Rd., Hanover, VA 23069, 804-365-6000.
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