Data Privacy Request Form

You must be a Connecticut or New Hampshire resident to be eligible to request a copy of your personal data processed by Aquarion Water pursuant to Public Act No. 22-15, also known as the Connecticut Consumer Data Protection Act ("CTDPA"), or RSA 507-H, also known as the New Hampshire Expectation of Privacy Act ("NHEPA"), respectively.

Contact Information

First Name

Middle Initial

Last Name

Preferred Phone Number

Email Address to Send Report

Customer Type

Address

Street Address/P.O. Box

Unit/Suite #

City

State

Zipcode

Identity Verification

We need to verify your identity to comply with your request.

Account Number

Email Address Associated With Account

Attestation Statement

I am a Connecticut or New Hampshire resident, I agree that the information I submitted above is accurate and truthful to the best of my knowledge. I have read the Aquarion Water Privacy Policy and I understand Aquarion Water will take measures to verify my identity before fulfilling my request.

This checkbox confirms agreement

Agree

To request for deletion of your cookie data please fill out our Data Deletion Request Form