Forms
N O T E
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Automatic Bill Payment authorization form: When signing up for Automatic Bill Payment service for your water and sewer bill, please fill out this form. Submit the completed form with a voided check or deposit slip to DWS Customer Service for processing.
Request to Access a Department of Water Supply Record: When requesting to inspect a Department of Water Supply (DWS) record or to receive a copy of a DWS record, please fill out this form. Submit the completed form to DWS for processing. Form layout courtesy of
State of Hawaii, Office of Information Practices.
Notice to Requester: This is a sample of the form you will receive after submittal of the
Request to Access a Department of Water Supply Record form. The customer does not fill this out. Form layout courtesy of
State of Hawaii, Office of Information Practices.
Request to be placed on the Priority List for Upcountry water meters.: This form is used for all water service requests in the upcountry service areas. As new sources of water become available, meters will be made available to requestors on the priority list in the order that the requests were received by the department.
Low Flow Fixture Data Form: This form needs to be filled out and submitted to receive free showerheads, faucet aerators, and/or self-closing hose nozzles from DWS. Bring the completed form in to the Water Resources & Planning Division at the Hokama Building (10 Kinipopo Street in Wailuku) to receive your free fixtures!
Water Meter Sizing Worksheet: This form is used to determine the size of water meter for residential projects. Certain building permit applicants are required to fill one out to ensure that their project will not exceed their meter capacity. Property owners should complete the form and return it to the Engineering Division.
Temporary Meter Application: This form is used to apply for temporary water service. The temporary water meters are primarily utilized to provide construction projects with water service on a one year basis. An approved reduced pressure backflow preventer is required to be installed and pass testing prior to using the temporary water service. Please return the completed form to the Engineering Division along with the applicable fees, consumption schedule, certificate of insurance and location map.
Reservation of Available Service Capacity: This form is used to reserve a water meter. The purpose of this application is to allow the applicant to reserve rights to service capacity. Please return the completed form to the Engineering Division.
Proposed Fixture Quantity Worksheet: This worksheet is intended for commercial tenant space improvements only, where the proposed work involves installation, removal, and/or replacement of water fixture(s) served by the Department of Water Supply. Only an engineer or architect licensed in the State of Hawaii may complete this worksheet. The original completed, signed, and stamped worksheet is required.
Cost List with Affidavit: This worksheet is intended for developers/owners when water system improvements are to be dedicated to the County of Maui. After the water system improvements have been constructed and have passed final inspection, the developer/owner shall submit a Cost List with the notarized Affidavit to the Engineering Division for review.
