Your Session is about to expire. If you want to continue working click OK before the timer below winds down to 0:00.
Your session has expired.
Cancel
If you cancel your online application, you will lose all the information you have entered till now. Are you sure you want to cancel?
Missing or Invalid Information
The highlighted fields contain missing or invalid data.
Do you want to continue or correct your entries?
Save Application
You are about to save your application. We will send instructions for continuing your application to the email address below. Please confirm this email address is correct and select Next to continue.
You can overwrite a different email address if needed.
Please enter a valid email address.
Application Saved
Be very careful if you are on a public computer. This application involves exchange of private information of the applicant. Do not proceed if you are not sure about the safety and security of this computer or the network connection.
Customer Assistance Application Water Revenue Bureau
Responses are accepted only in English.
Print Now
Responses are accepted only in English.
Note that if you print this application, you will not be able to have it mailed to you or complete it online.
Mail Me an Application
Responses are accepted only in English.
Note that if you have this application mailed to you, you will not be able to print it or complete it online.
Apply Online
Completing the online application could take up to an hour. You will have an opportunity to save your progress and return to this application later if you provide a correct email address when prompted to do so. To complete your application, you will need to upload supporting documents, which may need to be scanned first. You will not be able to submit your application without uploading supporting documents.
The application requires you to upload:
2 proofs of residency,
proof of income for yourself and other household members, and
If instead you wish to fill out a paper application and attach hard copies of supporting documents, click Cancel below to return to the previous page and select Print Now or Mail Me an Application.
Mail Me an Application
Application ID has been marked to be mailed to:
Saved Application Found
There was an internal server error processing your request.
Start Over
If you start over, all the information entered and any documents you saved will be deleted. Starting over will not delay a scheduled shut off. If you are in danger of shut off, please call our Contact Center at 215-685-6300. Are you sure that you want to start over?
Find your Water Account
Applicant Information
All information must be current.
