Customer Information

Service A‌ddress

Apt #

Service City

Service State

Service Zip Code

The service and billing address are the same

First Name

Middle Initial

Last Name

Phone Number

Date of Birth

Email Address

Confirm Email Address

Additional Information

Please select the date you would like each service to be turned on. You will receive an email from the vendor with the confirmed start date once your order has been approved.

Unavailable dates will appear grey on the calendar.

SWC

Southwest Water

Social Security #

Driver's License #

Driver's License State

Buying or Renting?

Purchase Settlement or Lease Date

Have you ever been a customer?

Is Water On?

Type of Service

Property Type

Additional Authorization

E-Bill?

Previous Address

Apt#

Previous City

Previous State

Previous Zip Code

I agree to the SWW Terms of Services