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. Termination of Service

   • If you are moving, it is important that you terminate service with the City. It is your responsibility to terminate service with the City (note: Joint Accounts). 
   • If you have moved and have not terminated service with the City, you will be responsible for any water usage and payment at that address. 
   • Termination of service must be completed a minimum of three (3) days prior to terminating service. 
   • Once you terminate service, your final bill will be mailed out immediately on your termination date and request to pay account balance in full.
9. Terms and Agreements

   Billing:

   I understand that I will be responsible for paying all water, sewer, sanitation, and stormwater bills generated up to the date I requested below. Once service has been terminated on the date of your request, your final bill will be generated and mailed to the forwarding billing address we have on file.

13. TERMINATION REQUEST

15. Date Service to be Terminated/Cut-off & Locked*
    Date Service to be Terminated/Cut-off & Locked
17. First Name*

    Name on Account

18. Last Name*
20. Business Name (If Commercial Account)
22. Service Address*
24. Apartment/Unit/Suite Number
26. City*
27. State*
28. Zip Code*
30. Email Address*
32. Forwarding Billing Address*
34. City*
35. State*
36. Zip Code*
38. Verify Driver's License # or EIN# (if Commercial Account)*
39. Phone (Cell)*
43. Are you the Owner of the Property?*

    1. Yes
    2. No
44. For Owners: Has the Property Been Sold?

    1. Yes, Please provide the New Owner's Name and Address
    2. No - You as the owner will be responsible for stormwater services until property has been sold.
46. New Owner's Name
47. Address
49. For Renters/Leases

    Please provide the Management Company/Owner Name and Address.

53. 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
55. First M. Last Name*
Leave This Blank:


59. Submit

* indicates a required field