Owner Acknowledgement Form

Form must be completed and signed by owner. Tenant cannot sign up for service until completed form is received by the District

Owner/Property Manager will be responsible for any financial obligation for unpaid closing bills, disconnection fees for non-payment and/or damaged facility charges incurred

User Instructions
Owner/Property Manger*
City/State*
Tenant (s) as named on Lease*
Service Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Owner Information
Owner’s Name:*
Owner’s Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Owner’s Home Phone #*
Alternate Phone #*
Owner’s Email:*
Owner’s/Property Manager Signature*
Signature
Date*

If you have any questions, please contact Customer Service at 619-443-3805, Monday-Friday, 7:30am-4pm.

Please return to office immediately, then instruct tenant to contact Lakeside Water to sign up for service:
Email to: form@LakesideWater.org
Mail to: 10375 Vine St, Lakeside, CA 92040

Note: Completion and submission of this form will not activate the tenants account. The Tenant will need to contact Lakeside Water directly to establish service