What is your request
  Turn on water
Turn On Water – At this C.F.S. rate Required
  1.00
Turn On Water – Meter Reading
  3
Turn On Water: Serial # Required
  12,345
Turn On Water – Date for requested action Requird
  10/30/2022
Lateral Selection
  0MC
Turnouts for Lateral 0MC
  HGMC
Contact information
Name
  test
Email
  test@gmail.com
Phone #
  (123) 456-7890
Remarks
  This is a test for the GVWUA H20 Form. Please confirm if you have received this test.