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Welcome to the Becker-Jiba SUD Community. Please contact our office by phone -or- you can print out the Service Application and Agreement to apply for service. We look forward to serving your water needs.
New Service Request
Relevant Documents
- Service Application ( PDF / 212 KB )
- CareFlite Application ( PDF / 261 KB )
- CareFlite Optout ( PDF / 217 KB )
- Confidentiality Agreement ( PDF / 96 KB )
- Right of Way Easement (General Type Easement) ( PDF / 162 KB )
- Customer Service Lead Inspection Form ( PDF / 194 KB )
- Update Your Physical Address ( PDF / 40 KB )
- Rental Agreement ( PDF / 130 KB )
