NWC-Online New Supply Application

Under the National Water Commission Act: You may submit your application now by providing the information required. Be reminded that this is the first step of the application process.
A fully completed application will enable us to respond quickly. You will be contacted within 72 hours via the applicant’s email with instructions on continuing your application.

SECTION 1 OF 4: APPLICANT'S INFORMATION

Purpose of Application

New Supply Contract

Sewerage Contract

Transfer of Existing Contract

Re-Supply

Temporary Contract

Upgrade

Relocation

Title

First Name

Middle Initial

Last Name

TRN

Mobile Phone

Home Phone

Email Address

Relationship to Owner

Proof of Authorization

Upload Authorization

Identification Type

Upload Identification

SECTION 2 OF 4: PROPERTY OWNER'S INFORMATION

Title

First Name

Middle Initial

Last Name

TRN

Mobile Phone

Home Phone

Email Address

SERVICE ADDRESS:

Parish

Gate/Lot#

Street

District

Directions to Property

Existing Customer?

Property Registered?

Volume #

Folio #

Proof of Ownership

Upload Proof of ownership

Identification Type

Upload Identification

Upload TRN Card

Upload Numbering Certificate

Upload Certificate of Incorporation

SECTION 3 OF 4 : BILLING / MAILING INFORMATION

Same as Service Address?

Bill Deliver

Text Bills To

Title

First Name

Last Name

Email Address

Parish

Gate/Lot#

Street

District

Note: A Site Inspection will be required to assess the feasibility of providing the service and to determine/ verify the information stated regarding the property. Please state the name and contact information for the person with whom the relevant arrangements for Site Inspection can be made.

SECTION 4 OF 4 : SITE INSPECTION

Title

First Name

Last Name

Relationship to Owner

Mobile Phone

Home Phone

APPLICATION REVIEW

SECTION 1 OF 4: APPLICANT'S INFORMATION

Purpose of Application

form

Title

form

First Name

form

Middle Initial

form

Last Name

form

TRN

form

Mobile Phone

form

Home Phone

form

Email Address

form

Relationship to Owner

form

Proof of Authorization

form

SECTION 2 OF 4: PROPERTY OWNER'S INFORMATION

Title

form

First Name

form

Middle Initial

form

Last Name

form

TRN

form

Mobile Phone

form

Home Phone

form

Email Address

form

SERVICE ADDRESS:

Parish

form

Gate/Lot#

form

Street

form

District

form

Directions to Property

form

Existing Customer?

form

Property Registered

form

Volume #

form

Folio #

form

SECTION 3 OF 4 : BILLING / MAILING INFORMATION

Same as Service Address?

form

Bill Deliver

form

Text Bills To

form

Title

form

First Name

form

Initial

form

Last Name

form

Email Address

form

MAILING ADDRESS:

Parish

form

Gate/Lot#

form

Street

form

District

form

SECTION 4 OF 4 : SITE INSPECTION

Title

form

First Name

form

Last Name

form

Relationship to Owner

form

Mobile Phone

form

Home Phone

form

Application for New Supply of Water Supply and Sewerage Services