Request for Final Form

Request for Final

If this form is submitted by e-mail, you will receive a reply acknowledging receipt of request. If you do not receive a confirmation e-mail by the end of the first business day after you submitted your request, please call the SWSA office at 334-298-6342. You may fax this form to 334-298-6412 for processing or mail to SWSA, P.O. Box 727, Smiths Station, AL 36877. You are responsible for following up to verify that the office received your request. All Requests for Final are processed on the next business day after it is received or later, but not more than three business days after it was received. Business hours are Monday-Friday(excluding holidays) 8:30 a.m.-5:00 p.m. Eastern time. Incomplete information will void the processing of your request.
  • By signing below, I certify that I am the account owner of the account referenced above. I request that my water service be discontinued as of the cut-off date indicated above. I understand that a final meter reading will be taken and I will receive a bill for water registered through the meter since my last billing. I understand that I am responsible for this bill and agree to pay the balance in full upon receipt. I further understand if I was previously enrolled in Auto Pay (automatic bank draft) that the final bill will not be automatically deducted from my checking account and that any unpaid balance may be sent to a collection agency for collection action.