Medical Certificate Form | Aqua America
762 W Lancaster Ave., Bryn Mawr, PA 19010
Required documents
Hours
M-F: 8:00am-5:00pm.
(866) 780-0301
Fax·
fax | Fax - Medical Certificate
(877) 987-2782
Voice·
voice | Customer Service
Websitehttp://www.aquaamerica.com
Fees
No fee to apply. It does not reduce the amount the household owes.
Service area
Summit County, Ohio
Preble County, Ohio
Stark County, Ohio
Williams County, Ohio
Pike County, Ohio
Franklin County, Ohio
Seneca County, Ohio
Ashtabula County, Ohio
Lawrence County, Ohio
Lake County, Ohio
Richland County, Ohio
Morrow County, Ohio
Auburn Township, Ohio
Mahoning County, Ohio
Trumbull County, Ohio
Marion County, Ohio
Customers with severe health problems may have their physician or nurse practitioner submit written confirmation that the customer or someone else living at the property has a medical condition that would be aggravated if Aqua shut off the water (usually for non-payment). Once received by Aqua, a valid medical certificate gives the customer 30 days to pay the bill or to make payment arrangements.
Last assured
10/23/2025
Providing organization
Aqua America
Provides water service in in 18 states, including some counties in Ohio.