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5. Please review the example photos above showing where to locate your service line, then submit the information below. 

   Your participation helps us ensure accurate records and future planning.

7. Name*
9. Address*
11. Email*
12. Phone Number
14. According to Village records, your property side service line material is*
    -- Select One --LeadCopperPlastic Unknown-May Contain Lead Or GalvanizedUnknown-Definitely Does Not Contain Lead Or Galvanized

    Click here to view the Village Record for Lead Line Inventory 

16. What do you believe your service line material is?*

    You can find ways to identify your laterals here.

18. Upload photos of the service line on the property side*
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field