Start/Transfer Service

You can sign-up for service by filling out the form below or in-person at our office at 601 Cherokee St. Please submit this form at least 2 business days before the New Service Start Date.

Within 2 business days we will contact you to confirm the date and time. We will also collect a deposit and fees. Residential service deposits are a minimum of $70.

Please note: Water service will not be turned on until after a deposit is paid.

Application and Agreement for Water Service

Step 1 of 2

Full Name / Business Name *

Do you currently have service with Leavenworth Waterworks? *

New Service Address *

Address Line 1

City

State

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

EIN or Last four numbers of SSN *

Please upload an image of your drivers license *

Click or drag a file to this area to upload.

New Service Start Date *

Customer Type *

Employer

Employer Phone

Add Authorized User on Account *

Deposit Agreement *

I understand that deposits MUST be paid within two business day of the requested Service Start Date. Any unpaid deposit will result in water services being turned off and a return trip fee of $25 will be charged in order to reconnect.