



Preston County PSD #4
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Preston County PSD #4
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Forms
This Screen: Any forms can be found below.

The deposit fee of $59.77 must be paid with this application.

The 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.
** PLEASE NOTE: ANY OUTSTANDING BALANCE MUST BE PAID
IN FULL BEFORE TRANSFER, OR TRANSFER WILL NOT BE COMPLETED.**
Are you moving? Please print out and mail this form to either our mailing address or to our email.

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@prodigiwv.net
© 2025 Preston Co Public Service District No 4


