Information required to complete form:

  • Photo of service connection

All fields marked with an asterisk (*) are mandatory.

Part A: Applicant Information

Part B: Address Served by City-Owned Lead Service Connection

Part C: Declaration

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Information provided by users is collected and used in accordance with The Local Authority Freedom of Information and Protection of Privacy Act (Saskatchewan). By using this service, you consent to the use of your personal information and to receiving electronic communications from the City of Regina, which uses IT software and hardware that is operated and maintained by a third-party in another jurisdiction.

If you wish to revoke the consent to disclose confidential or personal information and to cease receiving electronic communications as herein described, your sole and exclusive remedy is to provide the City with appropriate notice and discontinue using this service.

 
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