Please complete the following information to receive the electronic form

The Equiflow Lead-Free Program is committed to replacing all lead service lines in the City of Wausau. To have your lead service line replaced when work reaches your block, you must complete and submit a Right of Entry (ROE) Authorization Form.

This form grants permission to the City of Wausau, the Equiflow Lead-Free Program, and its contractors to access your property and replace the lead service line. Only the property owner or an authorized representative may sign the ROE form. If an authorized representative (tenant, family member, or other) is signing on behalf of the property owner, they must submit a notarized letter or legal documentation confirming their authority to act on the owner's behalf.

How to Sign Your ROE Form

  • Online: Completeand sign your ROE form using the Jotform tool below. You will receive aconfirmation email with a PDF copy of your signed form.

  • Paper Copy: To request a paper form, contact the Equiflow Lead-Free Program at infowausau@yourcip.com or call 715-793-7417.

What Happens Next?

Once your ROE form is submitted, a contractor will contact you to schedule your lead service line replacement when construction is set to begin in your area.

Learn more about the lead service line replacement process-> HERE

For any questions or assistance, feel free to reach out to the Equiflow Lead-Free Program team.