REGISTRATION FOR WATER & WASTEWATER BILLING

Please use this form for newly purchased property or mailing address updates and submit it to:

DEP-BCS, Attn: Registration Unit, 59-17 Junction Blvd, 7th Floor, Flushing, NY 11373

Service Requested (check all that apply):

New Owners (see the back page for more information)

Update Mailing Address

Duplicate Bill Copy

Add Another Name to the Bill Spelling Correction

Add or Remove Agent/Managing Company

PROPERTY INFORMATION/SERVICE ADDRESS: New Owners: Do you own other properties? Yes No

OWNER’S CONTACT INFORMATION:

AUTHORIZE DUPLICATE BILL COPY TO ANOTHER PERSON OR BUSINESS:

MANAGING AGENT/COMPANY INFORMATION:

ONLINE ACCESS:

VOLUNTARY VETERAN INDICATOR QUESTIONS:

ACKNOWLEDGEMENT:

ACCOUNT NUMBER: - - Borough:

Property Address: Block: Lot:

CITY: STATE: NEW YORK

ZIP: Purchase Date:

Name/Business Name: Email:

Address: CITY: STATE: ZIP:

If you have an existing “My DEP Account” online profile, include your login email:

To delegate access to a managing agent or another person, include their existing online profile email:

I affirm that I am the owner of the above property and understand that the DEP will deliver water and wastewater bills and

other communications

to the Service (Property) Address shown above and duplicate bills to the Name and Mailing Address

shown

above. I acknowledge that charges issued against the property must be paid in full by the due date listed or interest

charges will be imposed.

Signature of Owner/Authorized Representative

Date

Print Name of Person Signing on behalf of the Owner, if applicable:

OWNER’S NAME: DOB: (MM/YYYY): _ _ / _ _ _ _

First Last

Additional Owner’s Name (First, Last):

Mailing Address: CITY: STATE: ZIP:

Telephone: Email:

Name/Business Name: Email:

Address: CITY: STATE: ZIP:

1. Has anyone in your household ever served, or are they currently serving?

2. Please indicate: U.S. Armed Forces

3. Please select who served / is serving: Self

National Guard

Spouse/Partner

Yes

Reserves

Child

Other (write in)

IMPORTANT INFORMATION FOR PROPERTY OWNERS

HOW TO COMPLETE YOUR REGISTRATION FORM

Ownership & Mailing: The recorded deed name must be the primary name on the account. Property owners are responsible for

ensuring that bills issued for water and wastewater services delivered and used at the property are paid in full by the due date

listed on the bill. Charges for water and wastewater services are considered a true lien against the property until paid in full.

The property owner can choose to have the bill delivered to another address by filling out the mailing address under “Owner’s

Contact Information” section on the front of this form. The owner can also choose to send a duplicate copy of the bill to another

name and address by filling out the “Authorize Duplicate Bill Copy to Another Person or Business” section on the front of this form.

General Information: To learn more about DEP or if you have questions about your bill, visit NYC.gov/DEP or call our Customer

Service Call Center by phone at the number below. Language services are available. Our website has information about

conservation, water saving appliances and other tips to assist you with managing consumption and/or leaks in your property.

Your property should be equipped with an AMR (Automated Meter Reading) device. If it is not, please contact the DEP.

Online Access: When the owner receives the first bill, they can register their account online using My DEP Account using the

token on the bill. For more information visit NYC.gov/DEP. Users can sign up for automatic payments, monthly billing and

e-billing. Owners can update their mailing/contact information which will reflect on all accounts under that name. Owners can also

delegate access to their online account by sending an invitation online or filling out the “Delegate Information” section on the front

of this form. You can view bills, water usage and submit requests like disputes etc. For help with your My DEP Account access

issues, please email us at mydephelp@dep.nyc.gov.

Veteran Data: The property owner can use this form to provide voluntary veteran information. Please note that this does not affect

your bill in any way.

Payments: You can make payments online at nyc.gov/dep, over the phone by calling 866-622-8292, or in person at any of our

borough offices listed below.

Payments can be mailed to:

NYC Water Board

P.O. Box 11863

Newark, NJ 07101-8163

If you are behind on your payments, DEP can set up a payment agreement for you. For information about payment agreements,

please call (718) 595-7890, Monday to Friday from 9:00am to 5:00pm.

To inquire about DEP services or seek assistance:

• Contact our Customer Service Call Center at (718) 595-7000, Monday, 8:00am to 7:00pm; Tuesday to Friday, 8:00am to

6:00pm; Saturday, 9:00am to 12:00pm.

• Email DEP at: customerservice@dep.nyc.gov. Please include your property address, water and wastewater account number (if

available) and contact information.

Office Locations:

Manhattan:

Bronx:

Brooklyn:

Queens:

Staten Island:

Central Office:

55 West 125

Street

1932 Arthur Ave.

250 Livingston St.

59-17 Junction Blvd.

60 Bay Street

59-17 Junction Blvd.

9th floor

6th floor

8th floor

floor

6th floor

Flushing, NY 11373

New York, NY 10027

Bronx, NY 10457

Brooklyn, NY 11201

Flushing, NY 11373

(Call for appointment)

S.I., NY 10301

Checking the “New Owners” checkbox on the front of this form or updating the name on the

deed will result in CANCELLATION of any existing Service Line Protection Program, Autopay,

Payment Plans, Exemptions, Bankruptcy files, and Water Debt Assistance Program (WDAP).

CRF: 07/2024