Privacy Statement - Polk Regional Water Cooperative 2026

1. Click ‘Get Form’ to open the Privacy Statement - Polk Regional Water Cooperative in the editor.
2. Begin by filling out the Account Information section. Clearly print your utility name and billing account number.
3. Next, complete the Applicant Information. Provide your last name, first name, middle initial, street address, apartment number (if applicable), city, state, zip code, phone number, and email address.
4. If your mailing address differs from your physical address, fill in that information as well. Indicate your relationship to the property (e.g., owner or tenant).
5. In the Building Information section, select the type of building you reside in and provide any necessary details such as HOA status or unit count.
6. Fill out the Landscape and Irrigation System Information. Confirm you have a working automatic sprinkler system and answer questions regarding water sources and sensors.
7. Finally, review all sections for completeness before submitting via email or mail to ensure a smooth evaluation process.

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