3. Welcome to Athens-Clarke County!

   The ACC Public Utilities Department provides reliable water and sewer services to Athens residents. Please complete this service request form to start water delivery and trash collection (if applicable).

   

   
   

5. I need to:*
   -- Select One --Set up water service for the first timeBecome the account holder at my current addressTransfer service from my current address to a new location

   Call the Water Business Office at 706-613-3500 if you are uncertain as to what type of water service request you need.

7. I hereby accept responsibility for water service at:*

   Enter the street address for where water service is needed.

9. City*
10. Zip*
12. First Name*
13. Last Name*
15. Phone*
17. Last Four Digits of Social Security Number*
19. Email*
21. Date of Birth*
    Date of Birth
25. What date would you like to have water service activated or transferred to your name?*
    What date would you like to have water service activated or transferred to your name?

    Please enter mm/dd/yyyy.

    ATTENTION: If the date you chose is the current day, next day, or within 48 hours you will need to come to the Water Business Office in person at 124 E. Hancock Avenue. 

27. What date would you like to have water service activated at your new address:*
    What date would you like to have water service activated at your new address:

    Please enter mm/dd/yyyy.

    ATTENTION: If the date you chose is the current day, next day, or within 48 hours you will need to come to the Water Business Office in person at 124 E. Hancock Avenue.

28. What date would you like to end water service at your current address:*
    What date would you like to end water service at your current address:

    Please enter mm/dd/yyyy.

32. How many people reside at the service location?*
34. Is the service location a new construction?*

    1. Yes
    2. No
36. Is the billing address the same as the service location?*

    1. Yes
    2. No
38. Billing Address (where bill should be mailed)
40. City
41. State
42. Zip
44. Type of Service Location*

    NOTE: If you are a business setting up a residential address, choose Commercial service location.

    1. Residential
    2. Commercial
    3. Multi-family (entire apartment complexes, etc.)
    4. Other
45. Describe the location
47. Business Name
49. Tax ID Number
51. Please select the one that describes you:*

    1. Owner
    2. Tenant
    3. Property Manager
55. In some neighborhoods, ACC Solid Waste provides trash services billed through the water bill.

    If your address is within the covered service area, you will be charged a trash service deposit based on your household size and a one-time $10.00 initial set up fee.

    To find out more information about residential trash and recycling services, please go to accgov.com/1312/Rates or call the Solid Waste Department at 706-613-3501.

57. Current Address

    Complete if you are transferring service to a different address.

59. Address 2
61. City
62. State
63. Zip
67. Proof of Identity

    

    Please submit a copy of a valid government-issued photo ID matching the person requesting service.

    Examples of a valid government photo ID include:

    • Driver's License (issued within the United States or U.S. territories)
    • Non-drive photo ID (issued within the United States or U.S. territories)
    • U.S. passport
    • U.S. passport card
    • U.S. military ID card
    • U.S. military dependent's ID card
69. Submit a copy of a valid government-issued ID matching the person requesting service*
73. Copy of Lease (Renters only)

    If you are a renter, submit a copy of your complete and signed lease agreement.

    If you are not a renter, skip this section.

75. Submit a copy of complete signed lease agreement showing responsibility for utilities and move-in date (for renters only).
79. Copy of Closing Documents (Property Owners only)

    If you are a property owner, submit a copy of your closing documents as proof of ownership.

    If you are not a property owner, skip this section.

81. Submit a copy of your closing documents as proof of ownership (for property owners only).
85. I understand there is a $50 deposit and a $10 service fee to start residential water/sewer service. *

    1. Yes
87. By submitting this application for water/sewer service for the above location, I hereby acknowledge responsibility for payment of billed services.*

    1. Yes
89. I understand there is a $25 convenience charge for same-day starting of service, acknowledging service may not be started on a weekend or holiday.

    1. Yes
91. I understand failure to receive a bill does not eliminate my responsibility to pay for the premise's accumulated water and sewer charges.*

    1. Yes
93. I understand water accounts are billed on a monthly basis.*

    1. Yes
95. Digital acknowledgement and signature*

    It is my responsibility to contact the ACC Water Business Office to terminate service.  I acknowledge responsibility for all water use at the above premises while account remains in my name.

    You will receive a confirmation email once your account is set up. Please allow up to 2 business days for setup completion.

    If the start date for your new service is more than 3 days after your application is submitted, you will receive a confirmation email at least one business day before your service start date.

    1. Yes, I understand
Leave This Blank:


97. 1. Receive an email copy of this form.
98. Email address

    This field is not part of the form submission.

99. Submit

* indicates a required field