Account Address/Phone Number Change

Address/Phone Number Change

  • Etowah Water and Sewer Authority require this authorization form to be completed to prevent the unauthorized use of your water account.

    1. Print and complete all fields on this form. Authorize by signing the form, fax form to (706) 216-6170.
    2. Complete the form below and submit.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.