Forms & Applications

Forms & Applicationsadmin2021-12-17T11:27:37-05:00

Forms & Applications

Please find below various forms and applications for customer use relating to water service by the White County Water Authority. If you need further assistance please contact us.

Job Application, use this form to apply for employment.

WCWA Job Application

Service Application & Contract, use this form to request water service for your residential, commercial or industrial location.

Service Application with Water Leak Adjustment Program Policy

ACH Draft Payment Request, use this form to set up payment direct from your Checking or Bank Account.

ACH BANK DRAFT REQUEST

ACH Bank Draft Stop Payment Request, use this form to stop direct payment from your Checking or Bank Account.

ACH Bank Draft Stop Payment Request

E-Mail Bill Request, use this form to setup your bill to be emailed to you instead of paper bill.

E-Mail Bill Request

E-Mail Bill Stop Request, use this form to stop your bill being emailed to you and return to paper billing.

Email Bill Stop Request

Address Change Request, use this form to request an address change of water service.

Address Change Request

Disconnection of Service Request, use this form when disconnection of service is required and final payment is requested.

Disconnection of Service Request

Inspection/Cleaning Request, use this form to request connection of service for cleaning and inspection.

Inspection Cleaning Request

Water Leak Adjustment Policy, this form/policy explains water leak adjustments.

Policy for Water Leak Adjustments

Water Leak Adjustment Request, this form is to request a water leak adjustment.

Request for Water Leak Adjustment Form

Water Rates Schedule, this document lists all rates and charges currently in effect.

Water Rates October 2020

Checklist for New Water Service Account

WCWA NEW SERVICE CHECKLIST.docx