|
Form
Name |
Form
Description |
Email |
 |
Request Record |
Request to
Access A Government Record (DOW Fee Schedule) |
governmentrecords@kauaiwater.org |
|
|
Notary Jurats |
Sample Notary Sections (jurats) for your notary public to use with
your Department of Water (DOW) documents. If applicable,
please select the notary section to fit your situation and attach
with your other DOW documents. (Revise if necessary to match
your situation.) |
adminsupport@kauaiwater.org |
|
|
Conveyance
of Water Facility |
Conveying
Private Facility to the Department of Water |
adminsupport@kauaiwater.org |
|
|
Conveyance
of Water Facility-DSL |
Conveying
a Double Service Lateral with Two Tax Map Key numbers for a Private Facility to the Department of Water |
adminsupport@kauaiwater.org |
|
|
Elevation
Agreement |
An
ageement 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 |
adminsupport@kauaiwater.org |
|
|
Elevation
Agreement for Condominiums |
For
condominium owners. An
ageement 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 |
adminsupport@kauaiwater.org |
|
|
Grant
of Easement |
An
agreement to grant, bargain, sell and convey to the Department of
Water an easement in perpetuity |
adminsupport@kauaiwater.org |
|
|
Right
of Entry |
Temporary
Entry to Land |
adminsupport@kauaiwater.org |
|
|
Waiver
& Release |
An
agreement stating that no County supplied water service of any
kind exists and acknowledging and accepting the fact that no
County supplied water service may ever exist at the location. |
adminsupport@kauaiwater.org |
|
|
Waiver
and Release for individual CPR |
Waiver and
Release Agreement for an Individual CPR Unit |
adminsupport@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 |
adminsupport@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 |
adminsupport@kauaiwater.org |
|
|
Cost
Breakdown |
Final cost
breakdown of the water facility that is being conveyed by the
owner to the Department of Water |
adminsupport@kauaiwater.org |
|
|
Non-Interconnection
Agreement |
No
interconnections between water supplied by DOW's water meter and
water supplied by the private water system exist or shall be
constructed. |
adminsupport@kauaiwater.org |
|
|
Leak Adjustment Form |
Adjustment Request for Undetected Underground Leaks |
In - Person Only (Notary Req) |
|
|
New Service Lateral |
Request for new water meter service connection (new service lateral) |
adminsupport@kauaiwater.org |
|
|
BFP Test Form |
Backflow Prevention Test Form |
wrp@kauaiwater.org |
|
|
BFP Testers |
APPROVED LIST OF CERTIFIED BACKFLOW PREVENTION ASSEMBLY TESTERS -
March 2020 - 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 |
