Option 1: Register Online

Name *
Property Address *
Property Address
Lot and block number, if known.
Phone Number *
Phone Number
Phone number provided is *
I prefer to be contacted by *
Participation Options *
If you answered “No” above, would you like to participate in the City’s lead sampling program?
Participation requires you to collect up to two (2) water samples each year with direction from the Department of Water and Sewer. Each sample result will be provided to you by the City after each sample test is completed. Up to 150 new volunteers per year will be randomly selected to participate in the lead sampling program. By participating in the lead sampling program for at least one (1) year, you may be eligible for a further reduction in the lead service line replacement cost to be performed in a later phase.

Once you have submitted the form, please complete the Materials Verification test and send a photo of your results to info@newarkleadserviceline.com. The photo should show the scratched surface of the pipe that comes through the outside wall of your home and your water meter.

Option 2: Register by Email or Mail

Download the Registration Form. You can digitally fill and sign the form using the Adobe Reader application. You can also print, fill, and scan or take a photo of the form. 
Formulario de registro en español
Formulário de registo em português

Then email your completed form to: 


Or mail your completed form to:

City of Newark
Director, Department of Water and Sewer Utilities
B31F, 920 Broad Street
Newark, NJ 07102
Re: LSL Replacement Program