Customer Forms

Bank Draft

Click here to download a Bank Draft Form 
Print, fill out, and return the form to the Water Department Office. Make sure to sign the form and enclose a voided check before returning the form to our office. The billed amount will be drafted on your due date.

Mailing Address Changes

Click here to download the Address Change Form

Only the person whose name appears on the account can request a change.
(Mailing address changes CANNOT be made over the telephone) 

Discontinue Service Request

Click here to download the Water Service Disconnect Form

If you plan to move and need to disconnect the water service, you can do so by either:

- Visiting one of our office locations with a completed Water Service Disconnect Form, which can also be filled out in the office.

- Sending us a written request by mail, including a forwarding mailing address and phone number.

All requests must include a signature from the person whose name the account is under. The Houston County Water System CANNOT process a water service disconnect over the phone.