Private Meter Discontinuance Request

Private Meter Discontinuance Request
Attention:

Central Alabama Water

Customer Relations Department

P.O. Box 830110

Birmingham, AL 35283-0110

(205)244-4000

I would like to withdraw from the Private Meter Program and be reinstated on the 85% return to sewer billing. I understand that by requesting to terminate my participation in the Private Meter Program, I am not allowed to re-enroll for 12 months from the date of this submission. Retroactive credit prior to re-enrollment is prohibited.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Customer Account Number
Private Meter Serial Number
Final Private Meter Reading
Failure to submit a "final meter reading" at the time of the program termination request will result in a credit forfeiture.
Date*

MonthDayYear
Date
Signature
Should be Empty: