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.
Saturday
March 13, 2010

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Forms

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

Account Changes Form (25 kb • 07/21/2009)PDF Format
 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.

ACH Bank Draft Sign-up Form (118 kb • 01/11/2010)PDF Format
 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!

Backflow Assembly Test Report (284 kb • 12/03/2009)PDF Format
 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.

Certificate of Water Availability Application (29 kb • 01/04/2010)PDF Format
 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.

Cross Connection Control Survey (34 kb • 09/24/2009)PDF Format
 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.

Developer Extension Agreement Application (28 kb • 01/04/2010)PDF Format
 

Duplicate Bill Service Authorization (24 kb • 01/04/2010)PDF Format
 This form is used by Property Owner's requesting duplicate bill service for rental property.

Employment Application (31 kb • 07/21/2009)PDF Format
 

Fill Dirt Waiver of Liability & Indemnity Agreement (18 kb • 07/21/2009)PDF Format
 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.

Frozen Pipes? What to Do (81 kb • 07/04/2006)PDF Format
 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.

Meter Installation Application (21 kb • 07/21/2009)PDF Format
 This form must accompany payment of connection charges and new meter installation fees. Valley Water District is an equal opportunity provider.

Miscellaneous Fee Charges (25 kb • 01/05/2010)PDF Format
 Miscellaneous Fee Charges for 2010, as approved by the Board of Commissioners on December 15, 2009.

Public Disclosure Request (17 kb • 07/21/2009)PDF Format
 Use this form to request any type of Public Information from Valley Water District.

Small Works Roster Application (23 kb • 07/21/2009)PDF Format
 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.

Water Meter & Water Leak Information (34 kb • 09/06/2006)PDF Format
 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.

Water Quality Report 2008: Alderwood (188 kb • 05/04/2009)PDF Format
 Annual Consumer Confidence Report for the District's Alderwood Water System.

Water Quality Report 2008: Chinook (182 kb • 05/04/2009)PDF Format
 Annual Consumer Confidence Report for the District's Chinook Water System.

Water Quality Report 2008: Country/Eldorado (182 kb • 05/04/2009)PDF Format
 Annual Consumer Confidence Report for the District's Country/Eldorado Water System.

Water Quality Report 2008: Valley (188 kb • 05/04/2009)PDF Format
 Annual Consumer Confidence Report for the District's Valley Water System.

Water Quality Report 2008: View Royal (192 kb • 05/04/2009)PDF Format
 Annual Consumer Confidence Report for the District's View Royal Water System.

Water Quality Report 2008: Winchester (185 kb • 05/04/2009)PDF Format
 Annual Consumer Confidence Report for the District's Winchester Water System.

Water System Assessment (18 kb • 07/21/2009)PDF Format
 Use this form to describe the water system you would like the District to consider for Satellite Management or Water System Acquisition.

WET GAZETTE ~ Spring 2010 Newsletter (2,667 kb • 02/25/2010)PDF Format
 View and/or print Valley Water District's latest edition of the "Wet Gazette".


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