Clark Regional Wastewater District

8000 NE 52nd Court
PO Box 8979
Vancouver, WA 98668

Phone: 360-750-5876
Fax: 360-750-7570

SelfPay:
360-993-8800

In Emergency call 360-750-5876
spacer

Forms & Requests

Residential Customers

Bill Pay

Direct Debit Authorization (pdf, 256K)
Sample Bill (pdf, 500K)

Authorization to Bill Tenants Directly (pdf, 52K)
Limited Power of Attorney-Required for Property Management Companies (pdf, 21K)

Account Changes &
Miscellaneous Online Forms

Request a Copy of Sewer Permit (online)
Check for Sewer Availability (online)
Request a New Sewer Permit (online)
Request a Connection Fee Quote (online)
Maintenance Issue and/or Concern (online)
Payoff Request (online)
Change of Ownership (online)
Change of Billing Address (online)

Printable PDF Forms

Request a Dye Test (pdf, 66K)

Business Customers

Account Changes & Miscellaneous Online Forms

Request a New Sewer Permit (online)
Request a Connection Fee Quote (online)
Maintenance Issue and/or Concern (online)
Change of Billing Address (online)

Printable PDF Forms

Commercial Flow Calculation (pdf, 199K)
Pretreatment Application (pdf, 164K)

Development Customers

Account Changes & Miscellaneous Online Forms

Request CRWD Specs (online)
Request an As-Built (online)

Printable PDF Forms

Tap Request (pdf, 119K)
Utility Review Request (pdf, 62K)
Devel. Extension Agreem't (pdf, 127K)
Donated Capital - Gravity (pdf, 75K)
Donated Capital - Pressure (pdf, 96K)
Contractor Release (pdf, 46K)
Authorized Signatory List (pdf, 53K)
Commercial Flow Calculation (pdf, 199K)

TV Inspection Request

District TV Inspection (pdf, 56K)
Private TV Inspection (pdf, 56K)
Approved TV Contractors (pdf, 74K)