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FORMS

FORMSrdtn7uf2022-10-07T12:21:11-06:00
Tap Application Package List

Please complete all forms. Application for Tap Service, Customer Contract, Cross Connection Survey, and Well User Agreement.

  • Application For Tap Service
  • Customer Contract
  • Cross Connection Survey
  • Well User Agreement
  • Rules & Regulations

Regular Water Service (existing tap)
  • Customer Contract
  • Rules & Regulations

Bank Draft Forms
  • Bank Draft Cancellation
  • Temporary Bank Draft Cancellation (Due to leak)
  • Bank Draft Form

Real Estate Forms
  • Real Estate Disconnect Form
  • Temporary Service Agreement

Disconnect Forms
  • In District Disconnect Form
  • Out of District Disconnect Form
  • Rental Property Disconnect Form

Other Forms
  • Cross Connection Policy
  • Customer Fees, Rates and Charges
  • Mailing Address Change Form
  • Rules & Regulations
  • Service Transfer Request Form
  • Updated Information Form
  • Deceased Relative Transfer Form
  • Add a New Person to Existing Account Form
  • Updated Email & Telephone number Form
  • Leak Account Request

Contact Us

2201 River Road
Ashland City, TN 37015

Phone: (615) 792-4603
Fax: (615) 792-3120

Hours

7:00AM- 3:30PM Monday-Friday

After Hours Emergency

Lee Corlew
(615) 812-5711

Harold Lovell
(615) 804-0140

For Emergencies or Interruption of service (only)

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