2. 
3. City of Fayetteville Water & Sewer Department

   Customer Service

   210 Stonewall Avenue West | Fayetteville, GA  30214

   Phone: (770) 460-4237 | Fax: (770) 460-4238

   
   

5. Application for Service

   • Application for service required documentation, and applicable payment of fees must be completed a minimum of three (3) days prior to establishing service. If the complete application is not received in our office before 12pm on the day of your desired established date, your application will not be processed until the next business day.
   • A non-refundable processing fee must be paid at the time of application or it will be applied to the first month's bill.
   • Any outstanding bills must be paid prior to activation of service.

   A Complete Application

   • Official picture idenitification
   • Signed by both parties - Lease Agreement (if renting)
   • Signed by both parties - Closing Settlement or Warranty Deed (if purchasing)
9. Terms and Agreements

   Billing:

   At the signing of this service agreement, I acknowledge that I am responsible for all billing of Water, Sewer, Sanitation, Recycling, Stormwater, or Proportionate Shares as applied to this address until I notify the City of Fayetteville that I am no longer responsible for these charges at the location listed above. Bills are mailed monthly and failure to receive a bill does not relieve your obligation to pay. Customer Service Department must be contacted if you do not receive a bill in a timely manner.

   Disconnection for Non-payment

   Service to any property may be disconnected at any time in which payment is past due.

   When service is suspended for non-payment, returned check or other violations, a fifty dollar ($50) Reconnect Fee and the outstanding balance must be paid to restore service. (Cash, Money Order, Credit/Debit Card only).

   Tampering with City Property

   Tampering with City property is PROHIBITED and punishable by law.

   Once water service has been disconnected for ANY reason, service can only be restored by a City of Fayetteville Department (CWS) employee. Customers and/or Landlords do not have the authorization to restore service. A one-hundred dollar ($100) Locked Meter fee will be accessed for tampering with City of Fayetteville property. The tampering fee and the outstanding account balance must be paid before service will resume.

   Access to property:

   I hereby grant the City of Fayetteville access to my property for water meter installing, repairing, removing, checking and reading; as well as sewer checks. I acknowledge that the meter and meter box are the property of the City of Fayetteville Water and Sewer Department; and they have the authority to control and regulate its use, as well as charge me for any repairs that are deemed necessary due to damage to the meter, meter box or sewer lines. I also grant the City of Fayetteville the right to destroy any vegetation or obstruction found to be hampering the reading of my meter, as well as levying fines against me.

   Connectivity:

   I acknowledge that I am prohibited by the City of Fayetteville’s Ordinance from connecting my plumbing to any other source while connected and receiving service from the City of Fayetteville; included, but not limited to, wells located on my property or any other private water supply, and that I am required to notify the City of Fayetteville of any source or installation in the future.

   Discontinuing Service:

   The account holder must submit in writing a Termination Form.

   
   

13. NEW START SERVICE AGREEMENT (RESIDENTIAL)

    
    

    Provide the Name, Driver's License # & Date of Birth of each person listed on the lease/purchase agreement. Use the "additional space" for additional person.

15. Date of Start Service*
    Date of Start Service
17. First Name*
18. Last Name*
20. Driver's License #*
21. Date of Birth*
23. Additional Person:

    Include Name, Driver's License # and Date of Birth...

25. Cell Phone Number*
26. Home Phone Number
28. Email Address*
29. eBill enrollment*

    1. Yes
    2. No
31. Service Address*
33. Apartment/Unit Number
35. City*
36. State*
37. Zip Code*
39. Billing Address (If different from above service address)
41. City
42. State
43. Zip Code
47. Please check all applicable boxes:*

    Have you or anyone on the lease/deed had Water/Sewage/Sanitation/Stormwater service in the City of Fayetteville?  If YES, what was the service address?

    1. Yes
    2. No
49. Account Name
50. Service Address
52. Please check all applicable boxes:*

    1. Do you OWN/PURCHASING your home? If YES, a copy of your signed Settlement Statement or Deed must be provided and a picture ID.
    2. Are you a MANAGEMENT Company RENTING this home? If YES, a copy of the signed Lease Agreement must be provided and a picture ID.
    3. Are you RENTING/LEASING your Home? If YES, a copy of the signed Lease Agreement must be provided and a picture ID.
53. Sanitation*

    For residence inside the City Limits of Fayetteville, Sanitation (Garbage and Recycling) are mandatory. The City sets up and discontinues service with GFL for you (some apartments handle their own). So that the City can serve you better: 

    1. Is there a garbage container at the above address (YES)
    2. (NO)
    3. Is there a recycling container at the above address (YES)
    4. (NO)
57. Acceptance of Service Application

    To aid the City of Fayetteville Water Department in the review and acceptance of the Contract of Service Application, Applicant unconditionally agrees to comply with all applicable Ordinances, rules and regulations currently in force and any that may be later amended, and to promptly pay for all services provided. This includes all service billings, late fees, and other fees and charges as they may apply.

59. Name*
60. Today's Date*
    Today's Date
62. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree, Electronic Signature
64. First Name*
65. Last Name*

69. Please upload 1 form of picture ID and Signed copy of required document

71. Picture ID Upload*
73. Signed Copy of Required Document*

    If you OWN/Purchasing - Signed copy of your Settlement Statement or Warranty Deed - Settlement Statement Signed by both parties

    If you are Renting/Leasing - Signed copy of your Lease agreement - Signed by both parties

74. Additional Documents
75. Additional Documents
Leave This Blank:


77. Submit

* indicates a required field