

Preston County PSD #4
Phone # 304-379-3130
Emergency # 304-379-7045
Forms
This Screen: Any forms can be found below.

A Government-issued photo ID Required along with deposit fee of $59.77 must be paid with this application.

A Government-issued photo ID Required, a Tap and deposit fee of $359.77 must be paid with this application. Service is required to be paid for 36 months continually before shut off can be requested.
Tap fee ($300.00) is non-refundable once work is started.

Leak adjustments will not be given for unusual usage due to leaking commodes, dripping faucets, outside faucets, hydrants, malfunctioning appliances, and similar situations that would be easily noticed by the customer.
**All Leak Adjustments are subject to Water Board Approval.

Please print off the form, fill it in as best as possible, and return it to the office by mail or in person. ** No Digital delivery is available for this form**
In the case of a customer requesting an installment plan for the payment of a large bill due to a leak, all the terms of the plan must be met by the customer to avoid penalty charges on current bills.

Do you want to transfer the deposit on your account to someone else who is taking over the bill for your service address? (for example, your Son or Daughter taking over water account) Simple template for you to request a transfer of deposit, we will also accept a signed letter mailed to us or dropped off. Goverment- issued photo ID for original account holder is required for form to be valid; as well as service application (located in link above) and Goverment- issued photo ID of persons taking over account.
** PLEASE NOTE: ANY OUTSTANDING BALANCE MUST BE PAID
IN FULL BEFORE TRANSFER, OR TRANSFER WILL NOT BE COMPLETED.**
Are you moving? Please scroll down to bottom of page and fill out form. Click link above to mail us printed copy along with Government-issued photo ID for account holder (if mailing or emailing.)
Discontinue Service Request
Please Note: If paper form is not filled out, this one must be.
Account Holder's Name *Account # *Discontinue Date *Select day water service will be turned off.Service Address *Address to be disconnectedSelect country/regionPhone *EmailForwarding Address *Address remaining deposit (if there is one) will be mailed to.Select country/regionFile Upload *A government-issued photo ID required of account holder to make form valid.Upload FileUp to 20 MB

Office hours:
Mon- Fri 8am-4Pm
Sat 8am-12pm
Emergency After Hours Contact Water Treatment Plant
304-379-7045
Contact Us
304-379-3130- Office
304-381-5370- Pay by phone
psd4@
© 6/16/2026 Preston Co Public Service District No 4


