Open or Close Account

General Account Information [Residential]

*Account Holder:

Social Security Number:

*Email Address:

*Confirm Email Address:

*Home Phone:

Work Phone:

Mobile Phone:

*Requested By:

Authorized Secondary Name:

How do you prefer to be contacted?

Email Phone

Is this a seasonal or permanent home?

Seasonal Permanent

Close an account and stop service [Residential]

*Address to stop service:

*City, State, Zip:

*MPW Account number:

*Date you would like service stopped:

ex. mm/dd/yyyy Available dates are 2 to 30 days from today not including weekends and holidays.

*Address to mail final bill:

*City, State, Zip:

Comments or additional information:

Open an account and start service [Residential]

*Address to start service:

*City, State, Zip

*Do you own or rent this residence?

Own Rent

*Date you would like water service turned on:

ex. mm/dd/yyyy Available dates are 2 to 30 days from today not including weekends and holidays.

Same as service address?

*Mailing Address:

*City, State, Zip

*Does this residence have an irrigation system with a separate meter?

Yes No Don't Know

If it does, do you want to open the irrigation meter account?

Yes No

Comments or additional information:

I understand that I will be assessed the following new account and/or transfer fees:

$25 Transfer Fee (this fee is charged to customers transferring from one home to another within 30 days - Note: customers who are assessed a transfer fees are not charged a new account fee)
$60 New Account Fee ($30 for water and $30 for wastewater - Note: this fee is charged to all customers establishing new service)
I understand that I may be assessed a Security Deposit of $100. Only homeowners who have displayed positive paying history during the past three years will be exempt from this deposit. All tenants will be required to pay a Security Deposit.
I understand that the fees listed above will be applied to my first months bill.

General Account Information [Commercial]

*Company Name:

Federal ID Number:

*Email Address:

*Confirm Email Address:

*Phone:

Doing Business As (if applicable):

*Your Name:

*Your Position in Company:

Authorized Secondary Name:

How do you prefer to be contacted?

Email Phone

Open an account and start service [Commercial]

*Business Type:

Sole Proprietorship Corporation Partnership LLC

*Business Description (ex: restaurant, salon, etc.):

*Business Phone:

Business Fax:

Alternate Contact Person:

Position in Company:

Phone:

Email:

*Address to start service:

*City, State, Zip

*Does the business own or lease the building?

Own Lease

*Date you would like water service turned on:

Available dates are 2 to 30 days from today not including weekends and holidays.

Same as service address?

*Mailing Address:

*City, State, Zip

Comments or additional information:

Co-Signer's Agreement for Commercial Accounts [Commercial]

Charleston Water System requires most commercial accounts to identify one person in the company who will assume responsibility for all water and sewer debts at the service address.

*Name of Person Responsible:

*Position in Company:

Social Security Number:

*Home Address:

*City, State, Zip

*Phone:

*Email Address:

*I agree to assume responsibility for all water and sewer debts at the above address from this date forward.

Comments or additional information:

Close an account and stop service [Commercial]

*Address to stop service:

*City, State, Zip

*Account number:

*Date you would like service stopped:

Available dates are 2 to 30 days from today not including weekends and holidays.

*Address to mail final bill:

*City, State, Zip

Comments or additional information:

Enroll in our Round Up Program? Yes No

>> Round Up Program Details

Enroll in our Service Line Care Program? Yes No

>> Service Line Care Details

Open Fixtures comment

When water service is shut off, fixtures can be unknowing left in the open position. In these cases when service is established water will begin flowing and pose a potential risk for flooding. We require that all fixtures be turned off on the date you request service to be established. If our technician suspects an open fixture based on movement of the water meter's flow indicator, the technician will leave your water service off and we will reschedule your service activation. This will result in your account being charged a service fee.

I have read and understand the above statement on open fixtures

Yes

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Commerical Properties

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