Final Reading Request Form

If you are selling or renting out your home, you must request a final meter reading from the Roslyn Water District. Please fill out the form below to request your final meter reading.

Please note: To avoid violation notices and ensure timely issuance of your final bill, all underground irrigation systems and backflow devices must be registered with the Water District. Water service lines equipped with backflow devices must be tested annually. Please contact our billing department at 516-621-7770 for additional information.

Name

First Name

Last Name

Date

YYYY

Phone

(###)

###

####

Service Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Roslyn Water District Account Number

Do you have an underground sprinkler system?

Yes

Has your backflow device been tested for this year?

Yes

Attorney Name (If Applicable)

First Name

Last Name

Attorney Phone

(###)

###

####

Attorney Email

Buyer or Renter Name (If Known)

First Name

Last Name

Buyer or Renter Phone (If Known)

(###)

###

####

Buyer or Renter Email (If Known)

Date of Closing

YYYY

Email Final To:

Signature