Get Retail Water Facility License Application 2020-2026

This guide provides comprehensive, step-by-step instructions for completing the Retail Water Facility License Application online. Ensure that you provide accurate and complete information to avoid delays in processing your application.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Identify your application type by checking the appropriate box: New applicant, Renewal applicant, Relocation, or Ownership change.
3. In the 'Name of Firm' field, enter the full legal name of your business, corporation, or organization.
4. If applicable, provide any additional names under which your company operates in the 'DBA' section.
5. Fill in the facility address details, including the street number, street name, city, state, and ZIP code.
6. If the mailing address differs from the facility address, provide the complete mailing address, including any P.O. Box information.
7. Enter the name and title of the facility operator responsible for managing operations.
8. Provide the facility's telephone number, fax number, and 24-hour emergency contact number for emergencies.
9. Include the facility's email address and the contact information for a correspondent regarding the application.
10. Indicate if your facility has a water vending machine, and mark whether it is inside or outside the facility.
11. Check the type of ownership that applies to your facility: Individual/Sole Proprietorship, Partnership, Corporation/Limited Liability Company, Nonprofit.
12. If applicable, provide the corporate name and state of incorporation.
13. List the names and titles of owners or officers associated with your business.
14. Indicate the type of water treatment used in your facility by checking all applicable boxes.
15. Select the water products offered at your facility.
16. Indicate if your water source is public or private, and provide additional information as required.
17. Review all provided information for completeness and accuracy.
18. Sign and date the application, then print your name and title.
19. Once completed, save your changes, then download, print, or share the form as necessary.

Complete your Retail Water Facility License Application online today to ensure a timely processing.