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CITY OF WESTFIELD, MASSACHUSETTS EMPLOYMENT APPLICATION
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Application for Water Service

  1. water.jpg

  2. Property Address Information

  3. Property Owner Contact Info

  4. This address will be used for billing purposes.

  5. Service Installation Details

  6. Please include any specific information that may be pertinent to this installation.

  7. Terms

    By submitting this for you are applying for water service at the Property Locations reference above and agree to comply with the rules and regulations of the Westfield Water Resources Department and agree to be bound by all city ordinances, rules and regulations pertaining to water use in the City of Westfield, and have received a copy of the Westfield Water Resources Department Rules and Regulations.

  8. Check here to state you understand the statement above.*

  9. Leave This Blank:

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