Starting Service Form

Note for New Accounts

New accounts may be subject to a new account service charge, or required to pay a security deposit. (District Code Title 6, and Title 11)

NOTE: If you live in the city of Novato, you are outside of Marin Water's service area. Please contact North Marin Water District for assistance.

First Name

Last Name

Service Start Date

Please allow two business days to process.

Service Street Address

How many people will be served by this water connection? Please include ADUs.

Service City

Zip Code

Is Mailing Address Different From Service Address?

Mailing Address (If Different From Service Address)

Mailing City

Mailing State

Mailing Zip Code

Daytime Phone Number

Evening Phone Number

Cell Phone Number

Email Address

Owner or Tenant?

Other Information

Vacated Premises Acknowledgement

By checking this box, I agree to notify Marin Water (stop service) when the premises are vacated and water service is no longer required. (District Code 11.20.020)

Send a copy