Please fill in all fields and click Start Service.  If a field does not apply, just enter n/a.  Please provide at least a home, work or cellphone number.  You will receive a automatically generated confirmation email after your input has been processed.  Please be sure to read the Service Agreement conditions in the right hand column. We must have a copy of your Driver’s License before water service can be connected. You can take a picture with your cell phone or scan your Driver’s License and send it as an email attachment to service@bigparkwater.com, you can bring it to the office and we will make a copy, or you can take a copy and send it via US Mail.  If you need help in this regard, please call us at 928-284-2298.  Please note, service can be started Monday thru Friday only!

A Deposit is required from renters and business owners (may also be required from homeowners) and must be received prior to connecting service. If you are renting an apartment or house, a $65 Deposit is required from “residential” customers. If you are a “commercial” customer, the Rental Deposit will be based on the type of business. For all businesses a Tax ID is required in lieu of a driver’s license. In lieu of a Deposit, customers can sign up for Autopay from either a checking account or credit card.

To use this form, you must sign it electronically by entering your Email address in the “E-mail Signature of Applicant” field above. By performing this action you hereby acknowledge/confirm you have read and agree to the terms in the right hand column and to the best of your knowledge, all information provided by you is correct.

If you Do Not wish to submit your Start Service request electronically, you may click on “Display & Print Service Agreement” to open a new browser window with a printable form that can be filled out, signed and US Mailed/faxed to Big Park Water Company.