Shelby County of Alabama
Water User's Agreement
Enter the information below to begin the signing process.
Required Fields
Water User 1
Name:
Enter name as it appears on warranty deed or rental/management agreement.
Email address:
Water User 2 (Optional)
Name:
Must also be present on warranty deed or rental/management agreement.
Enter name as it appears on warranty deed or rental/management agreement.
Email address:
Service Address
Street 1
Street 2
City:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
State:
Zip Code:
Check box if billing address is the same as the service address
Billing Address
Street 1:
Street 2:
City:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
State:
Zip Code:
Phone
Primary
Secondary Phone:
Preferred Method To Receive Bill
Email
US Mail
Submit