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To Apply for Service
Welcome! We look forward to having you as a member of Adams County Water Association.
Before applying for service, we need to know if there is an existing meter at the service location or if you need to have a meter installed.
*Please select one:
Already an existing meter at service address.
Need a meter installed at service address.
The following information is required before service can be activated:
911 Invoice number
Adams County Civil Defense, 201 S. Wall St., Natchez, MS or phone 601-445-2266.
Signed Water Users Agreement. (
download form
)
Pay $125.00 non-refundable user fee. We accept cash, check, money order, VISA, Mater Card and Discover.
Complete the following form and submit to ACWA customer service.
NOTE: If you are requesting a meter larger than a 3/4 inch meter, please contact ACWA for further information. You will still need to provide all of the information below to install the meter.
To have a meter installed, you will need to provide the following information:
Form 335-E from Mississippi State Department of Health
Division of On-site Wastewater (Department)
Go to this website:
www.healthyms.com/wwapply
Or call: 1-855-220-0192
If a mobile home, please provide Trailer registration number.
Adams County Tax Collector's Office, Adams County Courthouse or phone 601-442-8601
911 Invoice number
Adams County Civil Defense, 201 S. Wall St., Natchez, MS or phone 601-445-2266.
Signed Water Users Agreement. (
download form
)
Payment-$400.00 non-refundable installation fee for 3/4 inch meter.
We accept cash, check, money order, VISA, Master Card and Discover.
Complete the following form and submit to ACWA customer service.
Please complete the following form and submit to customer service.
*Your Name:
*Service Request Date:
-Select-
January
February
March
April
May
June
July
August
September
October
November
December
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,
-Select-
2024
2025
*Driver's License Number:
*Date of Birth:
Service Address:
*Street Address:
*City, State, Zip:
,
-Select-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
West Virginia
Wyoming
Mailing Address (If same as Service Address, enter "Same" in the Address field)
Street Address:
City, State, Zip:
,
-Select-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
West Virginia
Wyoming
*Phone Numbers:
(Daytime)
(Eve or Cell)
*Place of Employment:
*Property Owner:
*911 Invoice Number:
*Additional Notes:
Please give a brief description of the property. (House, Trailer, Barn etc.)