form center

Property Owner Contract Form for Water and/or Sewer Service

There is a separate form for Tenants, Lessees, and Land Contract Customers; this form is only used for property owners with a deed in their name.

This number will only be called if the office detects a water leak at your home or other urgent business matters.
This email address will only be used for urgent business matters with the City of Circleville.
This number will only be called for urgent matters such as large water leaks.

This field must be completed if your deed / ownership includes more than one name.
This number will only be called if the office detects a water leak at your home or other urgent business matters.
This email address will only be used for urgent business matters with the City of Circleville
This number will only be called for urgent matters such as large water leaks.


COMMERCIAL PROPERTY ONLY
FID # (provide if you are a business and want the account in the business name)
COMMERCIAL PROPERTY ONLY
Contact Name & Phone Number (if you are contracting under a business name)
Please enter the contact person and phone number, if this service is in a business name.

This agreement is made and entered into between the City of Circleville, Department of Utilities, and (enter name in the space)
who is the owner of the service addresses listed. This agreement is subject to all City of Circleville Ordinances and Laws now in force, or which should later become in force, and all rules and regulations of the City of Circleville, Department of Utilities.

I understand that water and/or sewer is granted solely on the basis of personal information submitted as part of this agreement, and I do certify that all such information is correct. I agree that this application for service, when accepted by the City of Circleville, shall form a binding agreement governing of all water and/or sewer services rendered to me by the City of Circleville.

I understand and agree that any tenants of the premises, covered by this agreement, are authorized to receive water and/or sewer bills as agents for me and that they must also sign an agreement with the City of Circleville for water and/or sewer service. I agree to comply with the property owner responsibilities as described in the City of Circleville Codes 921.07 and 927.15.

No refund shall be made for an amount less than One Dollar ($1.00). Payments must be received in the Utility Office before 4pm on the due date to avoid paying the "AFTER DUE DATE" amount.

This Section Applies if you Own Other Properties in Circleville
List service addresses of all other properties you own within the City of Circleville Utilities District
Click or drag a file to this area to upload.

Click or drag a file to this area to upload.
The names on this contract must match all names on your closing papers and/or deed.

SERVICE ADDRESS INFORMATION
Other Business Use

LANDLORD OF RENTAL PROPERTY

THIS SECTION IS ONLY APPLICABLE IF YOU PLAN TO ALLOW TENANTS TO RENT OR LEASE THIS SERVICE ADDRESS.


The City of Circleville, Department of Utilities’, has a standard procedure for the closing of accounts, after your tenant has moved from your property. Our procedure is to disconnect the water (where we are able to), when we are notified that a tenant has moved. The water will remain off, until you advise the Utilities Office that you would like it turned on or until the next tenant signs up for water services. There is no charge for this service; however, we do ask for a 24-hour notice of the water reconnection need.

If you would rather the water service always remain on between tenants, you may do so, however we will need this request in writing. We will then make the notation on the service address, and the water will remain on, between tenants. You may make notation on the bottom of this letter and return it to our office. Or you may provide us with a paper, with your signature and a listing of the properties which you own, letting us know that you would like to have the water left on.


Please take a moment to read through the following information.

Office Hours: 7:30am – 4:00pm, Monday-Friday. Closed on major holidays.
Office Location: 108 E Franklin St., Circleville, OH 43113


We offer several methods of making payment…

There is an afterhours drop box, which is located to the right of our office door.

You may pay by postal mail or in person at our office location.

You can pay by cash, check, money order, or credit/debit card in office.

We can set your account up with automatic bank payments, free of charge, which are drafted the day before the bill due date.

For your convivence, we offer phone and online payments, which are supported by a third party. There is a convenience fee of $3.90 for phone payments (740-477-8255 option 1) or $2.95 for payments using our City of Circleville website).


All water/sewer bills are due on the 20th of each month. If the 20th falls on a Saturday, the bills will be due on the 19th. If the 20th falls on a Sunday, the bills will be due on the 21st. If the payment is not received by the due date a 10% late fee is added to the account.


Any property, which is unpaid on the disconnection processing day, regardless if a tag has been delivered or of if the property is shut off or not, is subject to a $25 service charge. The disconnection process begins on the 2nd Friday of each month; the final date to pay is always the Thursday prior.


If water is disconnected for nonpayment, it will not be restored until the full past due amount and the $25 service charge is paid. Upon payment, water services will not be restored until the following business day. If you wish to have water services restored the same day, you must pay the full past due, the $25 fee, and the current bill so you’re your account reflects a zero balance.