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Applications and Forms
The majority of the Department of Water forms below are interactive, allowing you to complete them online, then print and submit via mail, fax, or in person.
Billing Forms
| Form | Description | Contact Email |
|---|---|---|
| Application for Water Service | Apply for water services if you already have an existing water meter box. | billing@kauaiwater.org |
| Application for Temporary Water Service | Apply for temporary fire hydrant use. | billing@kauaiwater.org |
| Apply for a Payment Plan | Apply for a promissory note to arrange for payment(s). | billing@kauaiwater.org |
| Automatic Bill Payment Authorization (ABP) | Enroll to have your water bill automatically deducted from your bank account. | billing@kauaiwater.org |
| Leak Adjustment Request | Used to request an adjustment for undetected underground leaks. | In person only (notary required) |
| New/Renewal Agricultural Application | Renew or apply for agricultural rate water service. | billing@kauaiwater.org |
Engineering Forms
| Form | Description | Contact Email |
|---|---|---|
| Request Record | Request to access a government record. | governmentrecords@kauaiwater.org |
| Backflow Prevention Assembly Test Report | See our approved list of certified backflow prevention assembly testers. | wrp@kauaiwater.org |
| Conveyance of Water Facility | Convey private water facilities to the Department of Water. | pm@kauaiwater.org |
| Cost Breakdown | Document used to breakdown all final costs of the water facility that is being conveyed by the owner to the Department of Water. | pm@kauaiwater.org |
| Elevation Agreement | This agreement states that the property is at an elevation such 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 |
| Non-Development Agreement | An agreement to subdivide property while knowing that the property’s existing water system facilities are inadequate to provide additional water service. | wrp@kauaiwater.org |
| Right of Entry | This agreement grants temporary entry to land. | engineering@kauaiwater.org |
| Water Clearance Form (Non-residential) | Used to request a new non-residential water meter service connection. Includes meter sizing worksheet. | wrp@kauaiwater.org |
| Water Clearance Form (Residential) | Used to request a new residential water meter service connection. | wrp@kauaiwater.org |
| Waiver and Release Agreement | Waiver and release agreement. See line by line instructions. | wrp@kauaiwater.org |