Drinking Water Quality Preventive Maintenance Notification Request Logo
  • Drinking Water Quality Preventive Maintenance - Temporary Free-ChlorineConversion Program Form

  • Thank you for your interest in our Temporary Free-Chlorine Conversion Program which is part of our routine water quality preventive maintenance program. We want to ensure that you have the needed information to meet your water supply needs. Please note that this form is for receiving notifications only. Learn more about the Temporary Free-Chlorine Conversion Program.

     

    Anyone who submits a form should be aware that in accordance with the North Carolina Public Records law, found in North Carolina General Statutes Chapter 132, their e-mail address is considered public record.

  •  

    Please contact your water provider.
    This form is for water customers within the City of Greensboro city limits and incorporated areas.

    • Business Section 
    • Main Person of Contact Details:

    • Secondary Person of Contact:

    •  

       

       

      *Not currently available but we hope to have this ability in the future.
    • Household Section 
    • Person of Contact Details:

    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof
    •  

       

       

      *Not currently available but we hope to have this ability in the future.
    • ENDER 
    • Should be Empty: