Pool Inspection Form

Pool Inspection Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Note: Pool should be on a permanent stationary structure.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Customer Account Number
BWWB Meter Number
Clarification Case Number (if known)
Date*

MonthDayYear
Date
3600 First Avenue North, P.O. Box 830110, Birmingham, AL 35283-0110 / Phone: (205)244-4000 / Website: www.caw-al.gov
Customer Relations Department Use Only
Dispatch Number
Inspected By
Inspection Date
Inspection Time
Meter Location
Meter Make & Size
Note:

If meter is being replaced, please fill in the information below if the customer has the old meter. For new meters, please request a copy of the new meter invoice.
Meter Number
Meter Reading
Should be Empty: