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Print and mail completed form to:                                         

Columbia Wastewater Treatment System
Attn: Mark Williams

1244 Treatment Plant Road

Columbia, TN 38401

(931) 560-1001

 

Attn:   Sewer Bill Inquiries

 

Date

 

 

Customer Name

 

 

Mailing Address

 

 

City, State, Zip Code

 

 

Daytime Phone Number

 

 

CPWS Account Number

 

 

Service Address

 

 

Name on Account (if different)

 

REQUEST: (Please explain)

 

 

 

 

 

 

 

(Attach additional pages if necessary)

 

 

Signature

 

Attention Customers requesting to be billed on actual usage:  Sewer bills will automatically change each May to be based on the average gallons of water used.  This average is calculated from the gallons water used during the months of November – April. In order to be billed on actual usage, a new and separate request must be made each year during or after the month of May.  Please submit your request to Columbia Wastewater Treatment System.  Please contact our office if you have questions regarding your sewer bill.  Thank you.