Skip to main content
The official website of the State of Mississippi

Downloadable Forms

ACH Authorization
To have an automatic debit, please complete this form and fax it to our office.

Payment Plan Agreement
If your services have been disconnected you may wish to enter into a payment agreement.

Request to Speak to the Board
Please complete this form and fax it to our office if you wish to speak to the Board.

Request for Security Deposit
Please complete this form and fax it to our office if you wish to receive a security deposit refund.

Request for Information
This is a request for information filed under the Freedom of Information Act.

Procedure Package
P.W.S.D. Procedure Package.

Request to Cancel Service
This request is only for customers that wish to close their account due to relocation or sale of property.

User Agreement
Water and Sewers User Agreement.