Form for Utility Account Contact Information

Please use the form below to submit the contact information for your utility account (garbage & water) in the City of Roswell.

If you have any questions, please contact the Financial Services Division via email or (770) 641-3759.

Comments

This field is for validation purposes and should be left unchanged.

Customer Name

First Last

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address

(if different from service address)

Same as previous

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Signature (Full Name)(Required)

To receive a copy of your submission, please fill out your email address below and submit.