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Public Water Supplpy District #1 of Greene County Water Tower

~ Forms You Can Download and Print ~

Below are links to forms that are in the PDF format.  You can read and print these forms using Adobe Acrobat Reader or other PDF file readers.  If you do not have Acrobat or another reader, you can download Adobe Acrobat Reader for free (click this link!).

Customer Application Form  

Transfer Application Form  

Disconnect Water Service Form 

Landlord Agreement Form- Please fill out form if you are a landlord and return it to us via mail or fax at 417-823-0056. We need current information on hand so we can contact you for billing purposes.  If there is any changes please give us a call at 417-881-1762.

ACH Drafting Form

Promissory Note

Request of Records

Discontinue_ACH_Form.