Name(Required) First Last Address(Required) Street Address City ZIP Code Account Number(Required)Was the building constructed after July 1988?(Required) Yes No If your building was constructed before July 1988, check the material of your service pipe.(Required) Lead Galvanized Copper Plastic (PVC, PEX, Other) Unknown To identify your service pipe material, check your household water service connection, typically located in the basement. 13852
