Va. Code Ann. § 15.2-2119.4
C. For purposes of this section, a written or electronic authorization from the property owner to obtain water and sewer services in the name of such lessee or tenant substantially in the form as follows, or a copy of the lease or rental agreement, shall be sufficient compliance with this section:
DATE
[INSERT NAME OF WATER AND SEWER SERVICES PROVIDER AND ADDRESS]
RE: [INSERT FULL TENANT NAME AND ADDRESS]
To Whom It May Concern:
[INSERT TENANT NAME] has entered into a lease for the property located at
[INSERT ADDRESS] and is authorized to obtain services at this address as a
tenant of [INSERT PROPERTY OWNER NAME].
Signed:
PROPERTY OWNER
2017, c. 736.