Please complete the form to submit the material of your water service line. You must have JavaScript enabled to use this form. First Name Last Name Phone Number Please enter your phone number including dashes. Email Address Property Address Please enter street address Account Number Type of Occupancy Type of Occupancy Owner Renter Tenant Water Service Line Material Water Service Line Material Unknown Lead Copper Plastic Galvanized Pex Other Identify Water Service Line Material for the material of your water service line. Source of Information Source of Information Visual Inspection Lead Test Kit Plumbing Records Scratch Test Other How did you determine the material of your water service line? Leave this field blank Print
