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2. Use this form to transfer your BWA water service to another service address served by BWA. Customers needing overlapping service (service at both addresses) for more than 14 days CANNOT use this form and will need to complete a New Service Application for the new service address.
6. Current Address Information
8. Name on Account*
   Enter the name on your current BWA account.
10. Your Email Address*
12. Current BWA Account Number*
14. Current Service Address*
16. End Date for this account*
    End Date for this account
    Enter the date you would like to end service at this address. Dates must be Monday through Friday and not be a holiday.
20. New Service Address Information
22. New Service Address*
    Enter the address you are moving to.
24. Are you renting this property?*

    1. Yes
    2. No
26. Please upload a copy of your complete lease agreement.*
28. Start Date for this account*
    Start Date for this account
    Enter the date you would like to start service at this address. Date must be Monday through Friday and not be a holiday.
30. Upload ID Document(s)*
    Please upload a copy of a valid, government-issued photo ID for each person whose name is listed on this account.
32. Request Confidentiality*

    1. Yes
    2. No

    Indicate if you would like your account information to be confidential. If you select YES, we will not share account information with persons who are not on the account.
34. Bill Delivery Method*

    1. Regular Mail
    2. Email
    3. Both
36. Email Address*
    Enter your email address
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field