Skip to main content

Become a tenant water customer

Use the form below to apply to become a tenant water customer.

Please complete the form and submit it to the Water Revenue Bureau (WRB). This is a fillable form, meaning you can complete all the fields –including the signature – on your computer. However, you may need to update Adobe Reader.

Once complete, please submit the form and required documents by email. Save the completed form as a PDF file on your computer, or take a clear picture with your smartphone, and email it to

Please include your name and address in the subject line.  A WRB customer representative will reply with the status of your application and further instructions.

You can also send your form and copies of documents by mail to:

City of Philadelphia
WRB Intake / CU – 3rd Floor
1401 John F. Kennedy Blvd.
Philadelphia, PA 19102

Or use the Intake Unit drop-off box, located at the lobby level of the Municipal Services Building:
1401 John F. Kennedy Blvd.

You can also bring in your application to our Northeast Philadelphia satellite office: 7522 Castor Ave., Philadelphia, PA 19152.

If you have questions about how to complete or submit this form, call (215) 685-6300.

Name Description Released Format
New tenant water customer application (fillable) PDF Use this form to apply to become a Tenant water customer. June 15, 2023
Solicitud para ser en un nuevo cliente del servicio de agua, como inquilino de una vivienda PDF Utilice este formulario para pedir que la factura del servicio de agua sea puesta a su nombre, cuando usted es el/la inquilino/a de una vivienda. Usted puede rellenar este formulario en una computadora. Luego envíela por correo postal o correo electrónico. June 30, 2023
申请成为新的水客户,作为房屋的承租人 PDF 如果您租房子,请使用此表格要求将水费账单放在您的名下。您可以在计算机上填写此表格。然后通过邮寄或电子邮件发送。 June 30, 2023