We have updated our Privacy Policy. Our policy describes how we may collect, use, process and share your personal information. We use cookies which vary by type and jurisdiction. Visit the Your Privacy Choices link at the bottom of our website, which describes cookies we use and how to manage them.

Start Service

Current Cross Connection Survey - New Residential Customers
Complete

Are you a business?

Yes

This is my first SJW account

Yes

Previous Address

Address

Address 2

City

ZIP Code

I also need to stop service at my previous address

Stop Date

Select only next business day, or future dates, excluding weekends and holidays

Address to Start Service

Address

Address 2

City

ZIP Code

Send my bill to the Service Address

Billing Address

Address

Address 2

City

State

ZIP Code

Country

Start Date

Select only next business day, or future dates, excluding weekends and holidays

First Name

Last Name

Business Name

Contact person for business

Phone Number

Type of Phone

Home

Work

Cell

Last 4 Digits of SSN OR any four-digit identifying number of your choice

Please note that we will use this information to verify your identity when you contact San Jose Water in the future.

Last 4 Digits of SSN

Any four-digit identifying number of your choice

Employer Identification Number (EIN)

Occupant Type

Owner

Tenant

New Residential Customers

To be completed by the property owner or their authorized agent.

This questionnaire aims to help determine if you have any special plumbing or activities that pose an increased risk of contamination to San Jose Water's water system. Please complete the following questionnaire and check the appropriate boxes that apply to your property.

Backflow prevention assemblies shall be installed at all service connections where in the judgment of San Jose Water and the nature of activities on the premise may present a nuisance or hazard to the public water system. Residential properties may be required to provide premise isolation as minimum protection. Installed devices are required