Water/Sewer Application Form

Please enter the date you would like your services to be turned on.
Driver's License and Social Security numbers will be required upon submission of this form.
Please enter your date of birth


Upon submitting this form, a representative of the City of Dover will be in touch to collect the Drivers License and Social Security numbers of both the submitting party, and their spouse/roommate. Signatures of both parties will also be required by visiting the Dover City Hall (8904 Market Street, Dover, AR 72837) before the services will be turned on.