Set up/Terminate Water and/or Sewer Service RequestWhat Would You Like to Do? (required)Start serviceStop serviceStart/Stop Service Date (required)Customer Type (required)OwnerTenantLandlord/Property ManagementApplicant Type (required)IndividualBusiness/Organization/OtherCo-ApplicantCheck here only if you are adding yourself as a co-applicant to an existing account. (Note: GAWSA will verify with the current account holder before adding you to the account.)Applicant Name (Individual or Business Name) (required)Date of Birth (required)Are You a U.S. Military Veteran?YesNoEmployer (required)Driver License Number (required)Driver License Expiration (required)Phone Number (required)Additional Phone Number (optional)EmailBy providing my email address, I agree to receive future communications from GAWSA.YesNoHow would you like to receive your statement? (required)EmailMailEmail AND MailEmergency Contact Name (required)Emergency Contact Phone (required)Service Street Address (required)Mailing Address (if different from service address OR for final bill)Mailing Address CityMailing Address StateMailing Address Zip CodeComments/Questions?By applying for service, I agree to provide the Authority my social security number or tax ID number prior to starting service and will allow Authority staff to contact me for receipt of this information.Your Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesThere was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.