Request for Services to be Turned On

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Request for New Service to be Turned On 

Moving InAre you moving into your new home?  Do you have a new tenant moving in?  If so, please complete the form below to submit your request for new service to begin.  Please allow a minimum of two working days from the date we receive your request/submission (excluding Saturdays, Sundays and holidays) for services to be to turned on or turn off.  Orders requested on the weekend or holidays will be scheduled for the next available business day.  If you have any questions, please call JCSD at (951) 685-7434.

Please be aware that JCSD is currently in a Drought Status Level 2 and there are certain water restrictions in place. For more information on the drought regulations, please click here. 

* Required 

Please correct the field(s) marked in red below:

1
Have you ever had an account with JCSD before?
2
If Yes, please provide previous address or account number
3
Street Number
 *
4
Street Name
 *
5
City
 *
6
State
 *
7
ZIP
 *
8
Daytime Contact Number
 *
Billing Address (If different than service address)
9
C/O or Attention
10
Address
11
City
12
State
13
ZIP
14
Are You The Owner or Tenant?
15

First Name

 *
16
Last Name
 *
17
Birth Date
 *
18
Social Security Number (last 4 digits)
 *
19
Driver's License Number
 *
20
Driver's License State
 *
21
Employer Name
22
Employer Phone Number
23
Spouse's Name (or any person who has permission to receive information on this account)
24
Spouse's Birth Date
25

Date For Service To Be Turned On.

Please DO NOT enter a Saturday, Sunday, or holiday date.

 *
26
Email Address: (If you would like a confirmation that your service request has been completed)
Please review your application form carefully. Make any corrections necessary, then click on the 'Submit' button. Please wait for your confirmation to appear. Thank You.

Note: The confirmation message only indicates that your request has been received. It does not confirm that your service request can be completed. Service address or other conditions can occasionally interfere with completion of service initiation.
  1. To receive a copy of your submission, please fill out your email address below and submit.
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