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Customer Name*
First Last
Customer Email*
Customer Phone*
Water District Account Number*
Photo ID Upload*
Max. file size: 50 MB.
Please upload a state or federal photo ID.
Service Address*
Street Address Address Line 2 City
Bank Name*
Bank Account Number*
Routing Number*
Upload Voided Check or Check Copy Image (REQUIRED)*
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Accepted file types: jpg, pdf, doc, docx, png, bmp, tiff, xls, Max. file size: 15 MB, Max. files: 3.
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