Valley Water District
14515 Pioneer Way E
Puyallup, WA 98372
253-841-9698  
888-205-0118  Emergency
253-770-8959  Fax
info@valleywaterdistrict.com
Valley Water District
Mission Statement
To provide safe and reliable water to all of the District's customers.
Friday
September 3, 2010

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Forms

Here you may view and print an assortment of information and applications for a variety of uses.

PDF Format
Account Changes Form (25 kb • July 21, 2009)
 This form is for Property Owners to make written request for changes to account information. A request to change billing name or owner's mailing adress must be made in person for ID verification purpose.
PDF Format
ACH Bank Draft Sign-up Form (118 kb • January 11, 2010)
 You can now elect to pay your Valley Water District bill via a recurring auto-payment transaction from your checking or savings account. Complete the attached form today and you're on your way to the easiest payment option yet!
PDF Format
Backflow Assembly Test Report (284 kb • December 3, 2009)
 This is the Valley Water District form for reporting annual backflow assembly tests. The Certified Backflow Assembly Testers must also include a copy of their Department of Health certification card and the calibration report for their testing equipment with this test report.
PDF Format
Certificate of Water Availability Application (29 kb • January 4, 2010)
 This form is used to inquire about the availability of water to an area not yet served, and must be accompanied by a site plan and a vicinity map of the parcel, along with related fee. Valley Water District is an equal opportunity provider.
PDF Format
Cross Connection Control Survey (34 kb • September 24, 2009)
 Valley Water District takes pride in providing quality drinking water to our community. Although the water that reaches your home or business is pure and clean, contamination can occur within your own piping system. This potential contamination hazard is known as a "cross connection". As a water user, you are the most familiar with how our water is being used. This survey is a preliminary evaluation of potential backflow situations. Please take the time to print and send this form to the District. Your participation is essential to the success of this program.
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Developer Extension Agreement Application (28 kb • January 4, 2010)
 
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Duplicate Bill Service Authorization (24 kb • January 4, 2010)
 This form is used by Property Owner's requesting duplicate bill service for rental property.
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Employment Application (31 kb • July 21, 2009)
 
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Fill Dirt Waiver of Liability & Indemnity Agreement (18 kb • July 21, 2009)
 Valley Water District has "Fill Dirt" on an as available basis, free to the public. Fill material will be delivered within District boundaries in an "as-is" state, at no charge. To be placed on a list of interested recipients, please review this form and contact the District. Notary service is available at the District office.
PDF Format
Frozen Pipes? What to Do (81 kb • July 4, 2006)
 Leaks waste hundreds of gallons of water. Ignoring a leak will result in wasted water and possibly serious damage to your home and property. The inconvenience and expense of a leaky or broken water pipe can be reduced with a little preparation.
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Meter Installation Application (21 kb • July 21, 2009)
 This form must accompany payment of connection charges and new meter installation fees. Valley Water District is an equal opportunity provider.
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Miscellaneous Fee Charges (25 kb • January 5, 2010)
 Miscellaneous Fee Charges for 2010, as approved by the Board of Commissioners on December 15, 2009.
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Public Disclosure Request (17 kb • July 21, 2009)
 Use this form to request any type of Public Information from Valley Water District.
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Small Works Roster Application (23 kb • July 21, 2009)
 If your business is interested in being considered for contracted work as it becomes available, print and send this application to the District along with your Certificate of Liability Insurance. Valley Water District is an equal opportunity provider.
PDF Format
Water Meter & Water Leak Information (34 kb • September 6, 2006)
 Here is some very helpful information about water meters, possible causes for high bills, how to check for a water leak, and repairing water service lines.
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Water Quality Report 2008: Alderwood (188 kb • May 4, 2009)
 Annual Consumer Confidence Report for the District's Alderwood Water System.
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Water Quality Report 2008: Chinook (182 kb • May 4, 2009)
 Annual Consumer Confidence Report for the District's Chinook Water System.
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Water Quality Report 2008: Country/Eldorado (182 kb • May 4, 2009)
 Annual Consumer Confidence Report for the District's Country/Eldorado Water System.
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Water Quality Report 2008: Valley (188 kb • May 4, 2009)
 Annual Consumer Confidence Report for the District's Valley Water System.
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Water Quality Report 2008: View Royal (192 kb • May 4, 2009)
 Annual Consumer Confidence Report for the District's View Royal Water System.
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Water Quality Report 2008: Winchester (185 kb • May 4, 2009)
 Annual Consumer Confidence Report for the District's Winchester Water System.
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Water System Assessment (18 kb • July 21, 2009)
 Use this form to describe the water system you would like the District to consider for Satellite Management or Water System Acquisition.
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WET GAZETTE ~ Spring 2010 Newsletter (2,667 kb • February 25, 2010)
 View and/or print Valley Water District's latest edition of the "Wet Gazette".


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