Submit Supporting Documents

Please attach copies of any applicable documents related to your request.

Personal information

Legal first name

Legal last name

Account number (Optional)

- Account Check Digit

Last 4 digits of SSN

Phone (Optional)

Ext.

Confirm email

Attach documents

By checking this box, you are electronically signing this request to the Las Vegas Valley Water District. By signing this document, you certify that you are the legal owner or designee of the property identified in the attached documentation. You acknowledge and agree to the Las Vegas Valley Water District's Service Rules. You warrant that the information furnished in the attached documentation to be true and accurate to the best of your knowledge. You agree your electronic signature is the legal equivalent of your handwritten signature. You also agree that no certification authority or other third-party verification is necessary to validate your electronic signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your electronic signature.

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