Customer Forms

 

Apply For Service

Apply for service by downloading all service forms (printable version) HERE or fillable PDFs HERE. Fill out and return the forms to one of our office locations, or by emailing them to info@irua.net.

 

Membership Agreement

IRUA requires each property owner that is provided rural water by the association to become a member of the association. This form outlines the membership agreement, fees, and guidelines set forth by the association and is anticipated to be filled out and returned by each property owner in a timely manner upon aquisition of the aformentioned property. 
Page 1 of the form is the standard agreement for water users and requires a signature from the property owner (and joint owner if applicable) and is required for all users. Page 2 is the standard agreement for users that also use the sanitary sewer system and is only required if the property is using sewer. If you are unsure if page 2 applies to you, please contact our office at 641-792-7011.

Download the agreement HERE

Download the fillable PDF HERE.

 

Service Questionnaire

IRUA requires each property owner that is provided water from the association to fill out the service questionnaire. This form provides contact information, important service information, and possible tenant information. This form is where you may list tenant information if this is a rental property. The form requires a signature from the property owner (and joint owner if applicable) and is required for all users. If you have questions about the form, please contact our office at 641-792-7011.

 

Download the questionnaire HERE.

Download the fillable PDF HERE.

 

USDA Data Collection Form

Due to our involvement with the USDA's rural development program, we are required to collect some additional information. We ask that each account holder fill out and return this form with their paperwork. This information is anonymous and immediately stored in a raw data pool. The information is represented by percentages and collected by auditors upon request. 

The form is available HERE.

Download the fillable PDF HERE.