Connecticut Water - Upgrade Form

Linebacker Protection

Upgrade Form

Linebacker Plus - Water & Wastewater - $169 plus tax / year
Linebacker Complete - All Inclusive (Water, Wastewater & In-Home Plumbing) - $209 plus tax / year
Please select a Payment Agreement

Public Authority, Commercial and Multi-family residences are only eligible for external water and external wastewater coverage.

Coverage Details:

* Name:

* Email Address:

* Telephone:

* Cell phone:

Address of Covered Property

Address of Covered Property:

* Street Address:

* City:

* State:

* Zip Code:

Promotion Code (if applicable):

My Mailing Address is different than the Covered Property

Mailing Address

Street Address:

City:

State:

Zip Code:

I was referred to Linebacker by someone already in the program.

Referred By Address

I was referred by:

Name:

Street Address:

City:

State:

Zip Code:

Lineback Referral Program

If you are already enrolled in Linebacker, you can refer family, friends, neighbors, and coworkers to Linebacker Protection plans and earn a $20 reward for each enrollment! They must be a Connecticut Water customer and the reward is in the form of a $20 credit on your quarterly water bill. More Information

I have read and agree to the terms and conditions. Please bill me in equal payments on my periodic water bill: I understand the annual price of the plan is listed above. Coverage for the new programs begin 30 days after enrollment.