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Lead Line Account Update Form

Posted on by Town Hall

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Please enter your account number. Each account number can only submit the form one time.
Please provide the name of the primary account holder, you will be able to provide information for authorized contact information later.
Billing Address(Required)
This is the address where you want to receive your bill, this can be a post office box or other address.
Physical Service Address(Required)
This is the physical service address where you live, this is where your water meter is located.
Authorized Contact Information
Name
Relationship
Phone Number
 
If you would like to provide any authorized contacts for billing or emergency notifications please provide the name and relationship of the person. You can use friend, relative, business partner, or other status. A phone number is also greatly appreciated if you can provide it.
Third Party and Community Assistance
Which best describes your property?
Would you like to participate in voluntary water sampling? There is no cost to participate. You must have an easily accessible outside faucet that is metal, no exposed plastic piping, and preferably no pets near the faucet.
Water Quality Issues
Please check if any of the following apply to you or if you have experienced any of these issues in the past 30 days.
Inside Plumbing Information(Required)
Please let us know if you have any of the following plumbing inside your house.
Lead or Galvanized Piping(Required)
To the best of your knowledge, do you have any galvanized, steel, or lead jointed plumbing fixtures in your house, or in your plumbing from the meter to your house?
Any notes, comments, or suggestions for the Town of Sweet Water?