BWWB Application for Service Connection

BWWB Application for Service Connection

Use this form to request installation of a new water service meter or irrigation meter connection.
Need to start or stop service at a home or business that already has water/sewer service? Please visit our Customer Account Portal.

Please direct questions to the Customer Service Department at (205) 244-4000.

*Required fields
Property Information
What service are you applying for? Check all that apply.*

Water serviceWater service - irrigation meterWater service - dedicated fire service
Is this location residential or commercial?*

ResidentialCommercial
Property Tax Map Number*
Example: XXX-XX-XX-XXX
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Lot
Block
Subdivision
Customer Information
Name*
Social Security / Tax ID Number*
Email Address*
example@example.com
Day Phone*

Area CodePhone Number
Evening/Alternate Phone

Area CodePhone Number
Point of Contact (Name)*

First NameLast Name
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Comments
Please read this important information
Birmingham Water requires most businesses, as well as residential customers who have an in-ground irrigation system, to install, maintain, and annually test a backflow preventer.

These devices protect our public water supply from contamination by backflow.

We will review your account information and contact you via mail if a backflow preventer is required. The cost of installing and annual testing of your backflow preventer will be your responsibility.

Please note that failure to respond or comply with our backflow requirements will result in disconnection of your water service.

Learn more about our backflow requirements, visit our backflow page.
I have read this information*

I agree
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BWWB Application for Service Connection

Property Information

Customer Information

Please read this important information