Account Update Form - Limestone County Water

NOTICE:

This form is only for existing accounts that need updating. If you need to start service at another location, this requires opening up a brand new account. To do this, please fill out our application for consumer residential instead.

If you are needing to update your credit/debit card information, you must do so through your PayNSeconds account instead.

If you are needing to update your bank account information for your bank draft, you must fill out our bank draft form instead.

For all other requests, please fill out the form below.

Today's Date *

Name on Account *

Last 4 digits of the account holder's Social Security Number *

Service Address *

Customer Number

Phone Number *

Email Address

Note: The above contact information is just in case we need to get in contact with you about your form submission. If you need to update contact information on your account, you must still click the appropriate checkboxes below.

I need to...(check all that apply)

Change my billing addressUpdate the phone number(s) on the accountUpdate the email address on the accountAdd a spouse/co-applicant to the accountRemove the spouse/co-applicant from the account (both of our names are currently on the account)Change the name on the account from my family member's name to mine (e.g. a deceased parent or divorced spouse)

New Billing Address

Mailing Address *

City *

State *

Zip Code *

Primary Phone Number *

Secondary Phone Number

Note: If there are any other phone numbers currently on the account besides the ones you enter here, they will be removed. Make sure therefore you include on this form exactly which phone numbers need to be on the account.

Email Address *

I would like to receive e-bills to this email address *Yes, as well as paper billsYes, instead of paper billsNo

Note: If there is another email address currently on the account besides the one you enter here, it will be removed. Make sure therefore you specify on this form exactly which email address needs to be on the account.

Co-Applicant's Last Name *

Spouse/Co-Applicant's First Name *

Co-Applicant's Drivers License

No file chosen

File size limit: 10 MB. We must have a copy of the co-applicant's driver's license to add them to the account. The file can either be uploaded here or emailed to customerservice@lcwsa.com.

Co-Applicant's Social Security Number *We must have the co-applicant's Social Security Number to add them to the account. If you do not wish you give your Social Security Number, you must come by our office.

If you also need to update the billing address or contact information due to this change, be sure to select the appropriate checkboxes at the top of the form.

Name to Remove from Account

Last Name *

First Name *

Divorce Decree/Death Certificate

No file chosen

File size limit: 10 MB. We must have a copy of the divorce decree or death certificate, as applicable, to remove a name from the account. You may either upload it here or email it to customerservice@lcwsa.com. For all other situations, please contact our office at 256-233-6444.

If you also need to update the billing address or contact information due to this change, be sure to select the appropriate checkboxes at the top of the form.

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