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APPLICATIONS AND FORMS

The following table displays a description of applications and forms used by the Department.  It will also include requests for Professional Services, Bid Invitations, Govt Record Request, and Job Openings.  The forms are only available in Adobe Acrobat format, and requires Acrobat Reader.  Follow the link below to download the latest copy of the Acrobat Reader.  Most of the Engineering Forms/Applications below are now interactive.  You can fill the forms out on-line, print them out and then mail/fax/hand deliver them to the department.

This file format requires the free Acrobat Reader from Adobe.

Form Name		Form Description	Email
	Request Record	Request to Access A Government Record (DOW Fee Schedule)	governmentrecords@kauaiwater.org
	Conveyance of Water Facility	Conveying Private Facility to the Department of Water	pm@kauaiwater.org
	Elevation Agreement	An agreement stating that the property is at an elevation that the Department of Water cannot be assured of a dependable water supply or of adequate service	wrp@kauaiwater.org
	Grant of Easement	An agreement to grant, bargain, sell and convey to the Department of Water an easement in perpetuity	engineering@kauaiwater.org
	Right of Entry	Temporary Entry to Land	engineering@kauaiwater.org
	Waiver of Construction Drawings	Agreement to approve water meter service for property, without the requirement of a construction drawing of the water meter connections as required under the Rules and Regulations of the Department of Water	wrp@kauaiwater.org
	Non-Development Agreement	Agreement to subdivide property but knowing that the property's existing water system facilities are inadequate to provide additional water service	wrp@kauaiwater.org
	Cost Breakdown	Final cost breakdown of the water facility that is being conveyed by the owner to the Department of Water	pm@kauaiwater.org
	Leak Adjustment Form	Adjustment Request for Undetected Underground Leaks	In - Person Only (Notary Req)
	Water Clearance Form - Residential	Request for new water meter service connection (Residential)	wrp@kauaiwater.org
	Water Clearance Form - Non-Residential with meter sizing worksheet	Request for new water meter service connection (Non-Residential) with meter sizing worksheet	wrp@kauaiwater.org
	BFP Test Form	Backflow Prevention Test Form	wrp@kauaiwater.org
	BFP Testers	Approved List of Certified Backflow Prevention Assembly Testers - List Subject to Change	wrp@kauaiwater.org
	Apply for Water Service	Application for Water Services (Existing Water Meter Box)	billing@kauaiwater.org
	Transfer of Service Account	Transfer the service account to a new owner/renter	billing@kauaiwater.org
	Application for Temporary Water Service	Appliction for Temporary Fire Hydrant Use	billing@kauaiwater.org
	New/Renewal Agricultural Application	Application and Renewal Form for Agricultural Rates	billing@kauaiwater.org
	Payment Plan Application	Application for Promissory Note	billing@kauaiwater.org
	Automatic Bill Payment (ABP) Form	The Kauai Department of Water invites you to select an easy way to pay your water bill with our new Automatic Bill Payment (ABP) service.  Your participating bank, savings and loan, or credit union can pay your water bill by deducting the amount due automatically from your financial account.  Save on writing checks, stamps, and envelopes.	billing@kauaiwater.org

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