Form and Downloads

Below is a list containing links to forms and other documents downloadable from the UAJA website.

Address Change - Fill this out online or after downloading, save and email to [email protected], or print and fill out by hand and send by mail.
Auto-Pay - download and fill out this Adobe Acrobat form, and bring to our office to have your quarterly bill AUTOMATICALLY charged to your bank account.
Commercial Wastewater Discharge Survey - (2017) fill in and submit - used to determine if IPP Questionnaire is necessary
Discharge Questionnaire - this form is for new commercial properties, or for commercial properties that have changed in their use.
GIS Documents - this zip file contains files and information necessary for submitting the required subdivision data
Local Limits Resolution - (Dec 2014) specific discharge limits that regulated customers must abide by
Odor Control Report - study results as of April 2015
Odor Observation Collection Data Sheet - this form may be printed and filled out by those wishing to report odor issues.
Power Of Attorney - this document allows you to appoint an "agent" to negotiate and sign the documents necessary to obtain a UAJA sewer connection permit.
Rate-Resolution-July-2018 - document detailing rates/charges, sewer usage/restrictions, billing procedures
UAJA Industrial Pretreatment Program (IPP) Resolution - (Oct 2010) program details, restrictions, info necessary for businesses regulated by IPP
Yearly EDU Report - a form for businesses to fill in and return to UAJA, used to determine EDU assignment
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