Sign Up for Reclaimed Water

Print
Press Enter to show all options, press Tab go to next option
Please correct the field(s) marked in red below:

PLEASE NOTE: This application is for requesting a connection of reclaimed water in areas or neighborhoods where it is already available. If reclaimed water is not yet available in your neighborhood, then please fill out and return our Citizen-Initiated Petition Form, and assist us in bringing reclaimed water to your area.
 *
PLEASE NOTE: This application is for requesting a connection of reclaimed water in areas or neighborhoods where it is already available. If reclaimed water is not yet available in your neighborhood, then please fill out and return our Citizen-Initiated Petition Form, and assist us in bringing reclaimed water to your area.
Type of Service Requested
Type of Service Requested
Request Hose Connection Adaptor In Lockable Meter Box (No Charge)
Request Hose Connection Adaptor In Lockable Meter Box (No Charge)
I, the Applicant, have read and understand the City's Policies and Regulations for Reclaimed water Service and agree to restrict use of reclaimed water for the purpose(s) described in this application. I understand that due to the chemical composition of reclaimed water that it is not suitable for consumption and may not be compatible for irrigation of certain susceptible vegetation, and I agree that the city will not be held liable for damages that may occur to vegetation or equipment or for damages which may occur due to interruption of service as stated in the City's Policies and Regulations or due to uses of reclaimed water for purposes not included in this application, and agree to defend and hold harmless the City from all claims and judgments arising therefrom against the City by any person.

It is understood and agreed that the customer of the described shall be responsible for prompt payment to the City of Clearwater, Florida, for all City utilities furnished by the City to the described premises in accordance with City Code Rules and Regulations. It is further agreed that the City shall have the right to enter the above premises at any time to inspect the reclaimed water piping and fittings, to discontinue City utilities for nonpayment of service charges, for tampering with the service, for cross-connections with another service or water source, or for any other reason that may be detrimental to the City system.
I, the Applicant, have read and understand the City's Policies and Regulations for Reclaimed water Service and agree to restrict use of reclaimed water for the purpose(s) described in this application. I understand that due to the chemical composition of reclaimed water that it is not suitable for consumption and may not be compatible for irrigation of certain susceptible vegetation, and I agree that the city will not be held liable for damages that may occur to vegetation or equipment or for damages which may occur due to interruption of service as stated in the City's Policies and Regulations or due to uses of reclaimed water for purposes not included in this application, and agree to defend and hold harmless the City from all claims and judgments arising therefrom against the City by any person. It is understood and agreed that the customer of the described shall be responsible for prompt payment to the City of Clearwater, Florida, for all City utilities furnished by the City to the described premises in accordance with City Code Rules and Regulations. It is further agreed that the City shall have the right to enter the above premises at any time to inspect the reclaimed water piping and fittings, to discontinue City utilities for nonpayment of service charges, for tampering with the service, for cross-connections with another service or water source, or for any other reason that may be detrimental to the City system.
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code