Customer Service Response Form – PWW&SB

Receiver of Water Works & Sewer Board

City of Prichard

Customer Service Policies

Customer Service Response Form

Today's Date(Required)

Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Phone #(Required)

Account #(Required)

Description of Service or Billing Issues(Required)

Customer Signature(Required)