Development Forms

APPLICATION PROCESS

Application for Service Availability (FORM A) (PDF)
This application is to be used when inquiring whether or not a NEW, PROPOSED project location is serviced by the FGUA

Application for Commercial Service Change (FORM B) (PDF)
This application is to be used when an EXISTING BUSINESS is changing ownership

Application for a Temporary Meter (FORM C) (PDF)
This application is be used when a developer or capital project is requiring a TEMPORARY (CONSTRUCTION) METER

CONVEYANCE AND SERVICE AGREEMENT (CSA)

Conveyance and Service Agreement (PDF) and Conveyance and Service Agreement SAMPLE form (PDF)
This agreement will be completed by the FGUA Development Staff and provided to the Developer for signature(s).

Conveyance Checklist (PDF)
This checklist is the Exhibit B of the conveyance and service agreement. To complete the Checklist documentation may require one or more of the following forms. Please review the custom checklist prepared for your project to find the appropriate forms

CLOSEOUT FORMS

Warranty Deed BLANK form (PDF) and Warranty Deed Sample Form (PDF)
The warranty deed is used to convey wells, plants, storage tanks, lift stations and any other land containing infrastructure that the FGUA must secure (fence) that could be interfered with by inclusion of other utilities in the same land.

Utility Easement BLANK form (PDF) and Utility Easement Sample Form (PDF)
The utility easement is generally used to convey non-exclusive easements to the FGUA to contain underground pipelines. Because the easement is non-exclusive, other utilities may use the same land for installation, maintenance and operation of other utilities.

Bill of Sale BLANK form (PDF) and Bill of Sale Sample Form (PDF)
The bill of sale conveys interests in personal property (things installed in the land, such as, pipes, valves, etc.)

Attorney Affidavit BLANK form (PDF) and Attorney Affidavit Sample Form (PDF)
The attorney’s affidavit is a document that indicates the developer is the owner of the property to be conveyed and that the property has no encumbrances such as mortgages or other easement holders that could interfere with the FGUA’s use of the land. The attorney’s affidavit relieves the developer from the requirement to purchase title insurance which is a significant saving for the developer. If the developer wishes not to provide an attorney’s affidavit, it may purchase title insurance and name the FGUA as an insured instead.

Owner Affidavit BLANK form (PDF) and Owner Affidavit Sample Form (PDF)
The owner’s affidavit assures to the FGUA that all contractors, subcontractors or material providers that provided goods or services to the developer for the project have been paid and cannot put a lien on the property that the developer is about to convey to the FGUA. The form also is required to determine if taxes will be owed on the property that is being conveyed to the FGUA and to identify all persons conveying property to a government.

Release of lien BLANK form
In addition to the owner’s affidavit, the FGUA requires that each contractor, subcontractor or material provider that worked on the project provide a release of lien.

Owner Waiver and Release BLANK form (PDF)
The owner’s waiver and release is designed to release any lien or other interest in the property that the owner may still have to the property aster it is conveyed to the FGUA. It serves essentially the same purpose as the release of lien document for the contractors, subcontractors and material providers.

Contractor Letter of Warranty BLANK form (PDF)
The contractor’s letter of warranty provides a warranty for custom built items such as sewers or lift stations that may not have a traditional written warranty.

Engineers Certification of Construction Completion BLANK form
The engineer’s certification of construction completion provides confirmation that the job is complete in accordance with the engineering plans. The engineer of record should execute this The closeout forms required for a particular project will vary based upon the customized Conveyance and Service Agreement Checklist (Exhibit B) provided with the CSA

Questions? Contact our Development Team at 407-629-6900 or 877-552-3482.