REGISTRATION FOR WATER & WASTEWATER BILLING 
                           Please use this form for newly purchased property or mailing address updates and submit it to: 
                           DEP-BCS, Attn: Registration Unit, 59-17 Junction Blvd, 7th Floor, Flushing, NY 11373 
 
 Service Requested (check all that apply): 
   New Owners (see the back page for more information)                  Update Mailing Address           Duplicate Bill Copy 
   Add Another Name to the Bill             Spelling Correction           Add or Remove Agent/Managing Company 

 PROPERTY INFORMATION/SERVICE ADDRESS:           New Owners: Do you own other properties?      Yes       No 
  
  ACCOUNT NUMBER:                      -              -           Borough:                                   

  Property Address:                                                                         Block:            Lot:              

  CITY:                                       STATE: NEW YORK ZIP:                      Purchase Date:                            
                                                                                                                                   
 OWNER’S CONTACT INFORMATION: 

  OWNER’S NAME:                                                                                 DOB: (MM/YYYY): _ _ / _ _ _ _ 
                                First                           Last 
  Additional Owner’s Name (First, Last):                                                                                        

  Mailing Address:                                          CITY:                           STATE:         ZIP:                

  Telephone:                                                Email:                                                              

 AUTHORIZE DUPLICATE BILL COPY TO ANOTHER PERSON OR BUSINESS: 

  Name/Business Name:                                                                      Email:                               

  Address:                                                CITY:                               STATE:        ZIP:               
                                                                                                                                   
 MANAGING AGENT/COMPANY INFORMATION: 

  Name/Business Name:                                                                      Email:                              

  Address:                                                CITY:                               STATE:        ZIP:                

 ONLINE ACCESS: 
  If you have an existing “My DEP Account” online profile, include your login email:                                            
   
  To delegate access to a managing agent or another person, include their existing online profile email:                         
                                                                                                                                   
 VOLUNTARY VETERAN INDICATOR QUESTIONS: 
  1. Has anyone in your household ever served, or are they currently serving?         Yes No 
  2. Please indicate: U.S. Armed Forces              National Guard           Reserves    Other (write in)                        
  3. Please select who served / is serving:   Self   Spouse/Partner           Child       Other (write in)                        

 ACKNOWLEDGEMENT: 
  I affirm that I am the owner of the above property and understand that the DEP will deliver water and wastewater bills and 
  other communications to the Service (Property) Address shown above and duplicate bills to the Name and Mailing Address 
  shown above. I acknowledge that charges issued against the property must be paid in full by the due date listed or interest 
  charges will be imposed. 

                                     Signature of Owner/Authorized Representative                            Date 
   Print Name of Person Signing on behalf of the Owner, if applicable:                                                         
                                                                                                                                   

                       IMPORTANT INFORMATION FOR PROPERTY OWNERS 
                            HOW TO COMPLETE YOUR REGISTRATION FORM 
 
 Checking the “New Owners” checkbox on the front of this form or updating the name on the 
 deed will result in CANCELLATION of any existing Service Line Protection Program, Autopay, 
 Payment Plans, Exemptions, Bankruptcy files, and Water Debt Assistance Program (WDAP). 

 Ownership & Mailing: The recorded deed name must be the primary name on the account. Property owners are responsible for 
 ensuring that bills issued for water and wastewater services delivered and used at the property are paid in full by the due date. 
 Charges for water and wastewater services are considered a true lien against the property until paid in full. 
 
 The property owner can choose to have the bill delivered to another address by filling out the mailing address under “Owner’s  
 Contact Information”. The owner can also choose to send a duplicate copy of the bill to another name and address by filling out 
 the “Authorize Duplicate Bill Copy to Another Person or Business” section on the front of this form. 
 
 General Information: If you have questions about your bill, visit NYC.gov/DEP or call our Customer Service Call Center at the 
 number below. Language services are available. Our website has information about conservation, water saving appliances and 
 other tips to assist you with managing consumption and/or leaks in your property. Your property should be equipped with an AMR 
 (Automated Meter Reading) device. If it is not, please contact the DEP. 
 
 Online Access: When the owner receives the first bill, they can register their account online - My DEP Account. Users can sign 
 up for automatic payments, monthly billing and e-billing. Owners can view bills, water usage, submit requests like disputes 
 etc. and update their mailing/contact information which will reflect on all accounts under that name. For more information visit 
 NYC.gov/DEP.  
 
 Veteran Data: The property owner can use this form to provide voluntary veteran information. Please note that this does not affect 
 your bill in any way. 
 
 Payments: You can make payments online at nyc.gov/dep, over the phone by calling 866-622-8292, or in person at any of our 
 borough offices listed below. 
 
 Payments can be mailed to: 
                 NYC Water Board 
                 P.O. Box 11863  
                 Newark, NJ 07101-8163 
 
 If you are behind on your payments, DEP can set up a payment agreement for you. For information about payment agreements, 
 please call (718) 595-7890, Monday to Friday from 9:00am to 5:00pm. 
 
 To inquire about DEP services or seek assistance: 
 • Contact our Customer Service Call Center at (718) 595-7000, Monday to Friday from 9:00am to 6:00pm. 
 • Email DEP at: customerservice@dep.nyc.gov. Please include your property address, water and wastewater account number (if 
 available) and contact information. 
 
                                                   Office Locations: 
 
 Manhattan:            Bronx:           Brooklyn:                  Queens:             Staten Island:  Central Office: 
 55 West 125th St.     1932 Arthur Ave. 250 Livingston St.         96-05 Horace        60 Bay Street    59-17 Junction Blvd. 
 9th floor             6th floor        8th floor                  Harding Expy 1st fl 6th floor        Flushing, NY 11373 
 New York, NY 10027  Bronx, NY 10457  Brooklyn, NY 11201  Flushing, NY 11368  S.I., NY 10301            

                                                                                                               CRF: 07/2022