Applications and Forms

The following table displays a description of applications and forms used by the Department.  The forms are only available in Adobe Acrobat format. 

The forms, when completed, can be faxed to (808) 245-5813.  If you have any questions regarding the forms, please call the corresponding number below.

The Engineering Forms and Applications documents were last updated on 1/26/02.

This file format requires the free Acrobat Reader from Adobe.

Engineering Forms and Applications
Form Name		Form Description	Phone Number
	Conveyance of Water Facility	Conveying Private Facility to the Department of Water	808-245-5408
	Elevation Agreement	An ageement stating that the property is at an elevation that the Department of Water cannot be assured of a dependable water supply or of adequate service	808-245-5419
	Grant of Easement	An agreement to grant, bargain, sell and convey to the Department of Water an easement in perpetuity	808-245-5408
	Right of Entry	Temporary Entry to Land	808-245-5408
	Waiver & Release	An agreement stating that no County supplied water service of any kind exists and acknowledging and accepting the fact that no County supplied water service may ever exist at the location.	808-245-5419
	Waiver, Release & Indemnity Agreement	Waive, release, and indemnify the Department of Water from any liability for injuries or damages	808-245-5419
	Waiver of Construction Drawings	Agreement to approve water meter service for property, without the requirement of a construction drawing of the water meter connections as required under the Rules and Regulations of the Department of Water	808-245-5419
	Non-Development Agreement	Agreement to subdivide property but knowing that the property's existing water system facilities are inadequate to provide additional water service	808-245-5419
	Cancellation & Release	Cancelling the Non-Development Agreement	808-245-5419
	Cost Breakdown	Final cost breakdown of the water facility that is being conveyed by the owner to the Department of Water	808-245-5419
Water Service Application
	Apply for Water Service	Application for Water Services	808-245-5430
	Transfer of Service Account	Transfer the service account to a new owner/renter	808-245-5430