This application is for a tenant of a property or Property Management agent. If you are an owner please go to the owner application here. 

The undersigned Applicant hereby requests the Los Osos Community Services District, herein referred to as District, provide the services as noted above in accordance with the applicable connection fees, service charges, rules and provisions of the District Ordinance Code. In consideration of the District’s acceptance of this application and contract, applicant hereby understands, certifies and agrees as follows:

• Account Activation – Completion of application with submission of a copy of a legal photo id is needed to activate an account. There will be a non-refundable activation fee of $50.00 applied to your account and will be payable on receipt of your first bill.  The District will not open a new account for customers with outstanding balances on previous accounts. 
• Billing & Delinquency - Water billing occurs every 2 months (60 days) of consumption on the 20th unless it falls on a weekend at which time it will occur the following business day. Billing is due on the 15th by 5:00PM following bill date unless the 15th falls on the weekend. Due date will then be the following business day. If paid after the due date, the account is subject to a $10 fee or 10% fee of balance due, whichever is higher. If account becomes delinquent 60 days from due date, account will be subject to disconnection and additional fees. It is the owner’s responsibility to review the bill for accuracy and notify the District of any concern. The District is not responsible for lost or non-delivered mailings be it physical or electronic
• Any representing agent will be required to provide a copy of a Property Management Agreement showing owner authorization.
• Responsibility of the Property Owner - The owner of the property in which services are furnished is the customer and shall be responsible for the payment of all rates, charges and fees, including penalties, thereon regarding such furnished services.  Unpaid obligations shall run with the land, shall create a lien on the property, and shall lead to delinquency and termination of service for the property involved without regard to any changes of residency or occupancy by persons different than the persons shown on District records as obligated to pay said bill.  Should the owner agree to allow a tenant or other third party (“Third-Party”) to be responsible for the payment of rates, charges, fees, and penalties, the District will accommodate the billing to Third-Party, however, the owner remains ultimately responsible and subject to this section 2.01.05 of Title 2.  The District will use commercially reasonable efforts to keep the owner informed if the Third-Party billing becomes delinquent, however, the District assumes no responsibility should the owner delegate payment obligations to a Third-Party.  At any time, based upon reasonable grounds for uncertainty, the District may place the billing back into the name of the owner and bill the owner directly and not the Third-Party.  The applicant shall permit the District’s authorized representatives to enter on the customer’s premises at all reasonable times for purposes connected with rendering, billing, or disconnecting utility services. Service may be terminated if reasonable access is not permitted.

Applicant Full Name (required)

Service Address (required)

Service Start Date (required)

Number of Residents in Household (required)

Billing Address, City, State & Zip Code (if different from above)

Daytime Telephone Number (required)

Alternate Phone Number

Email (required)

Bill Preference (required)

Both Print & E-Bill

Print Only

E-Bill Only

Owner Name (required)

Owner Email (required)

Owner Phone Number (required)

Have You Ever had services through LOCSD? If yes please provide address

Valid Photo ID (Name on documentation must match the applicant name) (required)

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Disclaimer: The applicant warrants that all information provided by them in this application is true and correct and understands that false or misleading information shall be cause for the District to deny or cancel service and demand immediate payment of any amounts which are due. By signing, I agree that I have read the terms and conditions listed above and agree to comply:

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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