Tenant Billing Form

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The owner must complete all required information below in order to process this request.

Account Number*
Please enter your account number as it appears on your bill. It should include 9 to 13 digits.
Effective Date*
MM slash DD slash YYYY
Service Address*
Please insert your full service address, including Street, City, State, and Zip.
I request the sewer bill for the property as identified above, be mailed to:*
- Tenant
- Agent
Tenant/Agent Name
First Last
Tenant/Agent Mailing Address*
Street City State / Province / Region ZIP / Postal Code Country
Property Owner Agreement
- I acknowledge and agree the person(s) named at the above-mentioned service address is authorized to receive sewer bills.
- I understand and agree that this request does not relieve me of property owner liability.
I am responsible for all charges to the above service address, such as unpaid sewer charges accrued by tenants. I also understand unpaid sewer charges may result in service to my property being disconnected and/or a lien being filed against the property title. If water service is disconnected due to non-payment, service will not be resumed until all delinquent charges together with any administrative fees are paid in full via cash, money order, debit or credit card.
- I understand that I will continue receiving copies of all bills and delinquent notices regarding the above service address.
- I also understand the tenant(s) may be granted payment extensions or delinquent bills and by signing this agreement, I authorize DELCORA to grant payment plans or extensions.
- I am aware that DELCORA must be notified in writing of any changes in billing, such as termination of the rental agreement and vacation of the premises.
Owner Name*
First Last
Owner Mailing Address*
Street City State / Province / Region ZIP / Postal Code Country
Owner Telephone*
Owner Mobile Phone
Owner Email
Signature*
I have read and consent to the terms of this agreement and declare under penalty of perjury that information provided on this form is true and correct. Enter your full name below.
Name
This field is for validation purposes and should be left unchanged.

Customer Service: 610-876-5526
Sewer Emergency: 610-876-5523 (Press 1)
Odor Complaint: 610-876-5523 (Press 2)

Contact Us
Pay Sewer Bill

Administration Building

100 East Fifth Street
Chester, PA 19013

Wastewater Treatment Plant

3201 West Front Street
Chester, PA 19016