Skip to form

Walnut Valley Water District

271 S. Brea Canyon Road - Walnut, CA 91789

Phone: (909) 595-7554


Affidavit Required

For Renters Only

In order to complete your application, an Owner/Tenant Affidavit must be completed and signed by both the tenant and the owner of the property.

The Owner/Tenant Affidavit must be completed within 2 weeks from the date of service established.

If you have the email address of the owner:

This can be completed electronically by continuing with the form.

Click "next" below.

If you do not have the email address at this time:

Please visit the District's website at

to complete the affidavit once you obtain the owner's email address.

Part 1 of your application has been submitted.

Please check that you agree before continuing.
By continuing, I acknowledge that I will be required to submit the owner's email address in order to complete the affidavit.
Signature HereClick to Sign
03/21/2023Click to Sign
03/21/2023Click to Sign
Signature HereOwner Will Sign Here

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.


Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue


Additional Signatures Required