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NY Water - System Down Service Order
* Indicates required field
*Date and time
Service order type
Account Information
*Last name
*First name
*Account number
Premise number
*Service address
*Contact phone number
*Taken by
Time wanted
Service Type Selection
*Service Type
Customer Service
Billing
Collections
Move In/Move Out
Complaints
Emergency
Leak
No Water/Low Pressure
Water Quality
New Customer Appt.
Other
*Additional comments
Service Order Information
Meter number
*Call back required?
Yes
No
RF number
Reading
If meter changed, new meter information
Found service?
Yes
No
Left service?
Yes
No
Mailing address if different from service address
Completion notes
Field tech's name