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2. 
3. Coachella Valley Water District
   
   Add Application to an Existing Account
   
   
   
5. Add Application

   Thank you for being a long-time Coachella Valley Water District customer.

    

   In an effort to keep our records current and accurate, we are requesting you to complete a short application for your Coachella Valley Water District account. Updating the account holder information ensures we can provide you with timely notification of any water-related issues or emergencies. Please complete the form, even if your information has not changed. 

    

   This process is free and does not affect your billing.  We do not require personal information such as social security or driver's license numbers, and we do not sell your contact information.

9. 
   Coachella Valley Water District’s Domestic Water Rates
   
   Click here for more information about Domestic Water Rates
13. I am:*

    1. Property owner
    2. Tenant
14. The property is a:*

    1. Residence
    2. Commercial / Business
16. Account Number - First 6 Digits*
17. Account Number - Second 6 Digits*
19. 
    Property Address Line 1*
21. Property Address Line 2
23. City*
    -- Select One --Cathedral CityDesert Hot SpringsIndian WellsIndioLa QuintaMeccaNilandPalm DesertRancho MirageSalton CitySky ValleyThermalThousand Palms
24. Zip Code*
26. First Name*
27. Last Name*
29. Business Name*
30. Type of Business*
32. Service is for:*

    1. Domestic
    2. Irrigation

    1. Fire Protection
    2. Sewer
33. Business Hours*
    Business Hours Start Time

    —

    Business Hours End Time
35. Mail by bill to:*
    -- Select One --My CVWD property addressA different address
37. Mailing Address Line 1*
39. Mailing Address Line 2
41. City*
42. State or Province*
43. Zip or Postal Code*
45. Primary Telephone Number*
46. Primary Telephone Number Type*

    1. Cell phone
    2. Home
    3. Work
48. Secondary Telephone Number
49. Secondary Telephone Number Type

    1. Cell phone
    2. Home
    3. Work
51. Email Address*
53. Property Owner / Landlord First Name*
54. Property Owner / Landlord Last Name*
56. Property Owner / Landlord Phone Number*
57. Landlord Type*

    1. Property Owner
    2. HOA
    3. Property Manager
59. Emergency Contact / Authorized Agent Name*

    Person authorized to access your account information and act on your behalf. Please input "None" if no one is authorized.

61. Emergency Contact / Authorized Agent Telephone
62. Emergency Contact / Authorized Agent Email Address
64. Authorization for Tenants to Establish Service*

    As the Property Owner, do you authorize current and future tenant(s) to establish service in their name?

    1. Yes, I authorize a tenant to establish service in their name. I understand that a tenant will be required to submit their request to start service.
    2. No, I do not authorize a tenant to establish service in their name. This account will be held in the property owner's name only.
66. Affidavit of Ownership

    I / We acknowledge ownership of property located at the service address entered. I declare, under penalty of perjury and possible immediate discontinuance of water service, that I assumed or will assume ownership of said property upon closure of escrow (or through other legal acquisition) on the date I provided in this application. Further, I acknowledge that as the owner of the aforementioned property, I ultimately assume all responsibility for any bills, costs or fees associated with water service, regardless of user or use.
68. Responsibility for Payment of Water Bills

    Property Owners are responsible for payment of water bills.

    By acknowledging this document, I certify I am the legal landowner or designee of the property identified as the service address above, all information is true and correct, and acknowledge and agree to all terms and conditions set forth below. I assume all responsibility for any bills, costs, loss, damage, penalties, charges, or fees associated with water service regardless of user or use.

    Owners may authorize tenants to establish service in their names; however, responsibility for the account remains with the Property Owner. The District, as a courtesy, may allow the Property Owner to authorize a Tenant to be billed for service. This courtesy is at the discretion of the District and as such, the District may transfer service from a Tenant back to the Property Owner and refuse to allow future service to be billed to a Tenant. In such circumstances, the Property Owner will receive all billing statements. CVWD may require Property Owners to pay any outstanding balances prior to a new Tenant establishing service. Upon termination of the tenant’s account, the account will automatically revert to the owner’s name.

    I understand all bills are due and payable within 15 days of billing. Bills not paid within 25 days of billing are assessed a 1.5% Late Charge. Bills not paid within 40 days of billing are assessed a $25 Delinquency Fee.
70. Responsibility for Payment of Water Bills

    By acknowledging this document, I certify I am the authorized tenant of the property identified at the service address above, all information is true and correct, and I acknowledge and agree to all terms and conditions set forth below. Upon termination of my account, the account will automatically revert to the owner's name. I understand all bills are due and payable within 15 days of billing. Bills not paid within 25 days of billing are assessed at 1.5% Late Charge. Bills not paid within 40 days of billing are assessed a $25 Delinquency Fee. The District may transfer service from a Tenant back to the Property Owner and refuse to allow future service to be billed to a Tenant. In such circumstances, the Property Owner will receive all billing statements.

72. Terms & Conditions

    CVWD owns, operates, and maintains the portion of the line from the water main to the outlet of the gate valve on the downstream side of the meter, check valve or backflow prevention device (Service Connection). Customer is responsible for the remaining portion of the line to the property being served (Customer Service Line). The Customer Service Line includes separate domestic water and fire sprinkler systems.

    Customer acknowledges that CVWD will provide a single Service Connection to Customer’s property identified in this application (Property). CVWD may discontinue service to the Property for any reason set forth in the Regulations, including, but not limited to, failure to make payment when due. If CVWD discontinues service, there is no water for the property sprinkler system. Customer assumes all risk of loss and damage to the Property or injury arising out of the termination of service and waives all claims against CVWD, including losses in connection with the loss of property fire sprinkler protection. Customer assumes all risk of loss or damage to personal and real property due to backflow from the fire sprinkler system portion of the Customer Service Line into the domestic portion of the Customer Service Line for any reason whatsoever, including without limitation, any water quality exceedances.

    Customer shall assume the defense of, indemnify and hold harmless CVWD from and against all actions, causes of action, damages, demands, liabilities, costs (including, but not limited to reasonable attorneys’ fees), claims, losses and expenses of every type and description (collectively, Costs) to which it may be subjected resulting from: (A) the design, construction, testing (including inspection to ensure that such system is operational), operation, maintenance, repair and replacement of the property fire sprinkler system located on the Property; (B) the performance of, or the failure of performance of, the residential fire sprinkler system; (C) backflow from the fire sprinkler system portion of the Customer Service Line into the domestic portion of the Customer Service Line for any reason whatsoever, including without limitation, any water quality exceedances; and (D) any death, injury, property damage, accident or casualty caused or claimed to be caused by the discontinuance of service to the Property for any reason set forth in CVWD’s Regulations, including, but not limited to, failure to make payment when due, including any Costs in connection with the loss of the use of the property fire sprinkler system. CVWD shall make all decisions with respect to its representation in any legal proceeding concerning this section.

    Service is subject to the requirements and limitations set forth in the Regulations of the District, as they may be changed from time to time.

74. I understand that typing or signing my name constitutes a legal signature confirming that I acknowledge and agree to the above Affidavit of Ownership, Responsibility for Payment of Water Bills, and Terms & Conditions. I certify that the information I provided is true and correct to the best of my knowledge.*

76. COACHELLA VALLEY WATER DISTRICT
    Post Office Box 1058
    Coachella, California 92236
    (760) 391-9600
    CustomerService@cvwd.org

    rev 5/2025

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78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit

* indicates a required field