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Useful Forms

Application for New Account
New customers wishing to apply for an account should complete this form with all required attachments, print, sign and email to ubcontact@tuscaloosa.com or hand deliver to the business services center at 2230 6th St.

Application to Transfer Service
Existing customers wishing to transfer their service should complete this form with all required attachments, print, sign and email to ubcontact@tuscaloosa.com or hand-deliver to the business services center at 2230 6th St.

Automatic Bill Payment Option Forms
If you would like to make payments automatically through bank draft, please use this form to apply. The service is free to our customers.

Leak Relief Application
If you have experienced a water leak and are a residential customer, you may qualify for assistance for high bills. Please include documentation showing the leak has been repaired.

Legal Statement
This form is used primarily by property owners where a tenant’s account is deemed uncollectable. Changes in ownership would also apply.

Name Change Agreement
This form should be used in situations where a current customers name on the account needs to be changed Examples: death, marriage/divorce, etc.

Account Ownership Change Agreement
This form should be used in situations where a current customers name on the account needs to be changed. Examples: roommates, business partners, etc.

Fire Hydrant Meter Permit Application
This form should be used when there is a need for higher volumes of water. There is a $30 permit fee to install a meter that will need to be paid when applying. Please note that "floating" hydrant meters require special authorization and a $1,500 advance deposit. Please call 205-248-5500 for assistance with this request.

Fire Hydrant Meter Removal or Relocation
Use this form when you have an existing fire hydrant meter that is no longer needed. Technicians will remove and final bill your company for water consumption.

Official Claim Form for the City of Tuscaloosa
Instructions and forms for filing a claim against the City of Tuscaloosa

Request To Cancel Service
Existing customers wishing to permanently disconnect their service should complete this form and email to ubcontact@tuscaloosa.com or hand-deliver to the business services center at 2230 6th Street.