Application for Water, Sewer, & Refuse Services

Water, Sewer, and Refuse Collection services are provided by the Department of Public Utilities and are available in different areas of the County. Refuse Collection is an optional service where available. Contact us at 804-501-4275 for information on these services or to establish service with Henrico County. You may also complete and submit this application electronically or print and mail the completed application to the address listed below. Please call the County at 501-4275 within 24 business hours of submitting your request to ensure your information has been entered and the availability of the date of service requested.

Private refuse collection services are also available throughout the County. Information on available companies can be found in various resources, such as the Internet, your local phone book and other publications.

 

Date Service Required (mm/dd/yy) / /

Service Address:
Address No. Street Direction
Street Name Type
Apt./Unit

Type of Customer (check one):
Residential Commercial Apartment or house rental

Residential Customer Information

Customer Name:
Title First Middle Initial Last Suffix
Daytime Phone# ( ) (Important. Please verify accuracy.)
Place of Employment

If applicant is a tenant:
Owner or Landlord's Name
Owner or Landlord's Phone # ( )


Commercial Customer Information

Business Name Federal ID #
Kind of business or activity
Business Phone # ( )

 


Alternate Contact Information

Spouse, other name on lease/deed, or additional contact name:
Title First Middle Initial Last Suffix

Daytime Phone # ( )
Place of Employment

Billing Information

Is billing address different from service address?

Yes No

If yes, please complete following:
C/O

Mailing Address:
Address No. Street Direction
Street Name Type
Apt./Unit
City State Zip Code

If applicant is purchasing the property:

Closing Attorney or Real Estate Agent's Name
Phone # ( )

 

Customer's Previous or Current Address in Henrico County:
Address No. Street Direction
Street Name Type
Apt./Unit

If current, should this account be closed? If yes, when? (mm/dd/yy) / /

Curbside Trash Collections:

Do you want the County of Henrico Refuse Collection Service if available in this area ($30.00 bi-monthly)?

Yes No

Noest:

A $14 account set-up fee will be included on the first regular bill. If a customer is not the property owner, a bill for a $100 security deposit will be mailed. A customer service representative will call to confirm application and may gather additional information.

Completed applications can also be mailed to:

County of Henrico

Department of Public Utilities

P. O. Box 90775

Henrico, VA 23273-0775

Department of Public Utilities Access and Correction Procedures
We strive to have accurate customer information in our records. If you would like to review the information on your account, please contact a customer service representative at 804-501-4275 to review the information over the phone or to arrange to come into our office on Parham Road. If you feel any of the information on file is inaccurate, incomplete or irrelevant, submit a written request to have it changed and include any legal documentation supporting the change, (i.e. marriage license, death certificate, etc.).

 
Department of Public Utilities Customer Privacy Notice
We follow strict standards to safeguard your personal information. These standards include limiting access to data and regularly testing our security technology. In the course of doing business, we may share data with others. Personal information may be shared with others for the following reason: In response to an unpaid bill, it may be shared with the State Debt Setoff Program, the Henrico County Finance Department or with our Collection Attorney. We require anyone with whom we share your personal information to protect it. We also require that they use it solely for the purpose for which it is shared. Otherwise, we do not share any personal information about our customers or former customers unless authorized by the customer or as permitted by law. You have the right to learn the nature and substance of any personal information about you in our files by making a request in person or upon written request. You also have the right to be accompanied by a person of your choosing. Should you feel any information we have in our files is inaccurate, incomplete or irrelevant, you may request correction, amendment or deletion of that information. A description of access and correction procedures will be sent to you upon your request.

Solid Waste

Public Utilities


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