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Please fill out the questions below with information about your home.

Please also include 1-2 photos showing your service line if possible.

For the location of your residence, provide the street address as listed on your water bill without periods.

EXAMPLE:

Building Number - Prefix - Street Name - Street Suffix - Unit Number - City - State - Zip

2022 - W - Main - St - Apt 3 - Anytown - IL - 60622

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* 1. Location Information

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* 2. Account Number

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* 3. What year was your home built?

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* 4. To your knowledge, has the service line of your home ever been replaced?

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* 5. If YES to question 4, what year was it replaced?

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* 6. What material is your service line? You may choose more than one.

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* 7. How did you determine the Material? Please choose one.

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* 8. If the pipe was located and the material identified, please take 1-2 photos and upload them.

Note: .heic files are not supported. For help converting an .heic file to .jpg, please click here: https://www.techjunkie.com/heic-not-supported-fix/

PDF, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 9. Upload your second photo here.

PDF, PNG, JPG, JPEG, GIF file types only.
Choose File

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