Listed on this page is important information for new water customers.

Due to the COVID-19 pandemic precautions for the safety of customers and MCMA staff, Water Service Applications for new water service and existing property transfer water service can be initiated by telephone. Please call MCMA office staff Monday through Friday at 717-248-0165 for complete details.

Property Transfer Water Service Application

MIFFLIN COUNTY MUNICIPAL AUTHORITY
70 CHESTNUT ST
LEWISTOWN, PA 17044

SERVICE APPLICATION

MM slash DD slash YYYY
Domestic
Public
Commercial
Industrial
APPLICANT(S) NAME*
(All Names on the Deed)
BILLING ADDRESS*
PROPERTY ADDRESS*
OCCUPIED AS:*
I/WE HEREBY MAKE APPLICATION FOR SERVICE AT THE PREMISES AS STATED.

THE UNDERSIGNED AGREE(S) TO MAKE PAYMENTS FOR ALL WATER, SEWER AND/OR REFUSE SERVICE FURNISHED OR RENDERED IN ACCORDANCE WITH THE APPLICABLE SCHEDULE OF RATES AND AGREE(S) TO CONFORM TO THE RULES AND REGULATIONS ADOPTED BY THE DESIGNATED AUTHORITY. THE AUTHORITY OR THE BOROUGH OF LEWISTOWN SHALL HAVE THE RIGHT TO TERMINATE THIS CONTRACT BY GIVING THIRTY (30) DAYS WRITTEN NOTICE TO THE UNDERSIGNED.


I certify under criminal penalties prescribed by section 4904 of the PA "Crime Code" for making false statements to a public official or body, that I am the owner of the referenced property and as such that it is recorded on the deed at the Mifflin County Courthouse, and I may be subject to fines and penalties for false statements.

Max. file size: 100 MB.
Provide by fax or in person
Max. file size: 100 MB.
Provide by fax or in person
SSN/EIN
Provide by fax or in person
SSN/EIN
Provide by fax or in person
MM slash DD slash YYYY
MM slash DD slash YYYY
SERVICE CHARGE FEE*
Max. file size: 100 MB.