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Fillable Nyc Water Billing Form in PDF

The NYC Water Billing form is a crucial document for property owners, enabling them to register for water and sewer billing or update their mailing addresses. Completing this form ensures that you receive timely bills and communications from the Department of Environmental Protection (DEP). Proper registration helps avoid late fees and keeps your account in good standing.

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Article Guide

The NYC Water Billing form is an essential document for property owners in New York City, serving multiple purposes related to water and sewer services. When you purchase a property or need to update your mailing address, this form must be filled out and submitted to the Department of Environmental Protection (DEP). It captures crucial property information, including the account number, service address, and the owner's contact details. The form also allows owners to specify if they wish to receive their bills at a different address or if they want duplicate copies sent elsewhere. This flexibility ensures that property owners remain informed about their water and sewer charges, which are considered a lien against the property until fully paid. Additionally, the form includes a voluntary section regarding veteran status, which can help the DEP provide tailored services. Completing this form accurately is vital, as it facilitates timely communication and billing, helping to avoid late fees and ensuring compliance with payment obligations.

Preview - Nyc Water Billing Form

REGISTRATION FOR WATER & SEWER BILLING

Please use this form for newly purchased property or mailing address updates.

Submit it to:	DEP-BCS
	Attn: Registration Unit
	59-17 Junction Blvd, 7th Floor
	Flushing, NY 11373

PROPERTY INFORMATION/SERVICE ADDRESS:

ACCOUNT NUMBER: __ __ __ __ __ - __ __ __ __ __ - __ __ __	Borough: _____________________________
STREET ADDRESS: ________________________________________________ Block: _________ Lot: ________
CITY: ________________________ STATE: NEW YORK ZIP: _________ Purchase Date: ___________________

OWNER’S CONTACT INFORMATION:

------------Please print clearly------------

OWNER NAME: ______________________________________________________________________________________________

First

Last

SECOND NAME or BUSINESS NAME: _________________________________________________________________________

FirstLast

CONTACT INFORMATION: (Email) _____________________________________________________________________________

MOBILE PHONE: _______________________________

EVENING/HOME PHONE: _______________________________

CHECK THE CORRECT BOX(ES) BELOW AND SIGN:

I affirm I am the owner of the above property and understand that the DEP will deliver water and sewer bills and other communications to the Service (Property) Address shown above. I acknowledge that charges issued against the property must be paid in full by the due date listed or interest charges will be imposed.

__________________________________________		________________________________________
Signature of Owner	Date	Second Signature	Date


ALTERNATE or DUPLICATE BILL MAILING INFORMATION: ) Alternate			) Duplicate Bill Copy

I affirm I am the owner of the above property and authorize DEP to deliver water and sewer bills and other communications to the Name(s) and Address(es) shown below. I acknowledge responsibility for ensuring charges

issued against the property must be paid in full by the due date listed or interest charges will be imposed.

________________________________________	_________________________________________
Signature of Owner	Date

SEND BILLS TO A DIFFERENT ADDRESS:

______________________________________________

Name

______________________________________________

Second Name/Attention:

______________________________________________

Street Address (Apt/Room)

______________________________________________

City

State

Zip

SEND DUPLICATE BILLS TO:

______________________________________________

Name

______________________________________________

Second Name/Attention:

______________________________________________

Street Address (Apt/Room)

______________________________________________

City

State

Zip

SEE THE IMPORTANT QUESTION ON THE NEXT PAGE REGARDING VETERAN STATUS

Voluntary Veteran Indicator Question:

1.	Has anyone in your household ever served, or are they currently serving?				Yes	No
2.	Please indicate:	U.S. Armed Forces		National Guard	Reserves	Other (write in)________________
3.	Please select who served / is serving:		Self	Spouse/Partner	Child	Other (write in) ________________

IMPORTANT INFORMATION FOR PROPERTY OWNERS

HOW TO COMPLETE YOUR REGISTRATION FORM

Ownership & Mailing

Property owners are responsible for ensuring that bills issued for water and sewer services delivered and used at the property are paid in full by the due date listed on the bill. Charges for water and sewer services are considered a true lien against the property until paid in full.

The property owner must receive the bill. It will automatically be delivered to the property address if the owner does not complete this form and submit it to the Department of Environmental Protection (DEP) at the address below. The property owner can choose to have the bill delivered to another address by using this form and checking the ‘alternate’ mailing information box on the front of this form.

A property owner can choose to send a duplicate copy of the bill to another name and address if they check the ‘duplicate bill copy’ box on the front of this form. If a property owner chooses to send a copy of the bill to a tenant, the property owner is still responsible for ensuring payment is received.

Meter Reading & AMR

Your property should be equipped with an AMR (Automated Meter Reading) device. If it is not, please contact the DEP at (718) 595-7000 and request an inspection to either install, repair or replace your AMR device. The AMR device allows property owners to create a My DEP Account, which is a fast and easy way to view, manage, and pay your water and sewer bills. You can also track your water usage and sign up for online leak notifications and

monthly eBilling to better manage your water and sewer costs.

Payments

The mailing address for payment is located on the bill. DEP accepts electronic payments and provides a toll free number for phone payments. If you cannot pay your bill in full, DEP also accepts partial payments. For larger balances, DEP can set up a Payment Agreement. Please be aware that all amounts charged and not paid in full by

the due date, will be charged late payment charges (interest) at 7% per year, billed monthly on the unpaid balance.

General Information

To learn more about DEP or if you have questions about your bill, visit nyc.gov/dep or call our Customer Service Call Center by phone at the number below. Language services are available. Our website has information about conservation, water saving appliances and other tips to assist you with managing consumption and/or leaks in your property. If you wish to file a complaint about your bill, please follow the instructions below.

To file a complaint (complaints must be submitted in writing):

•Please include your name, account number, property address and a brief description of the bill problem.

To inquire about DEP services or seek assistance with electronic processes:

Mail to:

DEP-BCS, Attn: Correspondence 59-17 Junction Blvd, 7th floor Flushing, NY 11373

•Call our Customer Service Call Center at (718) 595-7000, Monday to Friday from 9:00am to 6:00pm.

•For information about payment agreements, call (718) 595-7890, Monday to Friday from 9:00am to 5:00pm.

•Email DEP at: customerservice@dep.nyc.gov

o Please include your account information, property address, contact information.

Office Locations:

Manhattan:	Bronx:	Brooklyn:	Queens:	Staten Island:	Central Office:
1250 Broadway	1932 Arthur Ave.	250 Livingston St.	96-05 Horace	60 Bay Street	59-17 Junction Blvd.
16th floor	6th floor	8th floor	Harding Expy 1st fl	6th floor	Flushing, NY 11373
New York, NY 10001	Bronx, NY 10457	Brooklyn, NY 11201	Flushing, NY 11368	S.I., NY 10301

Get Nyc Water Billing PDF Form

Form Characteristics

Fact Name	Details
Purpose of the Form	This form is used for newly purchased properties or to update mailing addresses for water and sewer billing.
Submission Address	Submit the completed form to DEP-BCS, Attn: Registration Unit, 59-17 Junction Blvd, 7th Floor, Flushing, NY 11373.
Owner's Responsibility	Property owners must ensure that water and sewer bills are paid in full by the due date to avoid interest charges.
Alternate Mailing Options	Owners can choose to send bills to a different address or request duplicate copies using this form.
Meter Reading Requirement	Properties should be equipped with an Automated Meter Reading (AMR) device. If not, owners should contact DEP for inspection.
Payment Methods	DEP accepts electronic payments, partial payments, and can set up payment agreements for larger balances.
Late Payment Charges	Unpaid balances will incur late payment charges of 7% per year, billed monthly.
Contact Information	For questions, visit nyc.gov/dep or call the Customer Service Call Center at (718) 595-7000.
Complaint Filing	Complaints must be submitted in writing and include the account number, property address, and a brief description of the issue.

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