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. Is this new service?*

   1. Yes
   2. No

   Select "Yes" if you have never had water service in Athens-Clarke County in your name.

7. Is this a transfer of service?*

   1. Yes
   2. No

   Select "Yes" if you have current or previous water service in Athens-Clarke County in your name

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

   Enter the street address for where water service is needed

11. City*
12. Zip*
14. First Name*
15. Last Name*
17. Phone*
19. Last Four Digits of Social Security Number*
21. Email*
23. Date of Birth*

    Please enter MM/DD/YYYY

25. The date you would like to have water service started 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. How many people reside at the service location?*
29. Is the service location a new construction?*

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

    1. Yes
    2. No
33. Billing Address (where bill should be mailed)
35. City
36. State
37. Zip
39. 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
40. Describe the location
42. Business Name
44. Tax ID Number
46. Please select the one that describes you:*

    1. Owner
    2. Tenant
    3. Property Manager
50. 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.

52. Current Address

    Complete if you are transferring service to a different address

54. Address 2
56. City
57. State
58. Zip
62. 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
64. Submit a copy of a valid government-issued ID matching the person requesting service*
68. Copy of Lease (Renters only)

    If you are a renter, submit a copy of the first and last page of your lease.

    If you are not a renter, skip this section.

70. Submit a copy of first and last page of lease agreement with move-in date listed (for renters only).
74. I understand there is a $50 deposit and a $10 service fee to start residential water/sewer service. *

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

    1. Yes
78. I understand there is a $15 convenience charge for same-day starting of service, acknowledging service may not be started on a weekend or holiday.

    1. Yes
80. 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
82. I understand water accounts are billed on a monthly basis.*

    1. Yes
84. 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.

    A leaking toilet or a toilet that continues to run after being flushed is one of the most common causes of high water bills.

    1. Yes, I understand
Leave This Blank:


86. 1. Receive an email copy of this form.
87. Email address

    This field is not part of the form submission.

88. Submit

* indicates a required field