--- title: Forms & Policies description: Forms & Policies --- ## FORMS & POLICIES At Dinwiddie County Water Authority (DCWA), our goal is to help make doing business with us easy for our customers, keep our customers informed about specific DCWA policies, and provide our customers with copies of reports which directly affect DCWA’s operation. As updated forms, policies, and/or reports become available, DCWA will post them here for download and review. #### FORMS There are a number of forms related to various aspects of the water and sewer services provided by the Dinwiddie County Water Authority (DCWA) which will require completion and submittal. The currently available forms are shown below. Please contact us if the form you need is not shown. Completed forms can be delivered to our [office](https://www.dcwa.org/hubfs/DCWA_Office_Information.pdf?hsLang=en) in person during normal business hours or sent to our [office](https://www.dcwa.org/hubfs/DCWA_Office_Information.pdf?hsLang=en) via USPS. [Application for Service Form (Residential)](https://www.dcwa.org/hubfs/Application-for-Service-Residential.pdf?hsLang=en) [Application for Service Form (Business)](https://www.dcwa.org/hubfs/Business_Application_For_Service.pdf?hsLang=en) [Application for Temporary Service Form](https://www.dcwa.org/hubfs/Application-For-Temporary-Water-User1.pdf?hsLang=en) [Temporary Water Use Form (Business)](https://www.dcwa.org/hubfs/Temporary_Water_Use_Form-Business.pdf?hsLang=en) [Social Security Verification Form](https://www.dcwa.org/hubfs/Social_Security_Verification_Form.pdf?hsLang=en) [Discontinuation of Service Form](https://www.dcwa.org/hubfs/Discontinuation-of-Service-Request.pdf?hsLang=en) [Bank Withdrawal Form (Checking)](https://www.dcwa.org/hubfs/Authorization_to_Withdraw_Funds_-_Checking.pdf?hsLang=en) * As of 12/31/2025 we will no longer be processing Credit Card Auto Withdrawal payments in our office. You can now manage automatic payments using your card through our online portal found [HERE](https://www.logicsolbp.com/dcw/login.aspx). [Bank Withdrawal Cancellation Form](https://www.dcwa.org/hubfs/Authorization_to_Cancel_Funds_Withdrawal.pdf?hsLang=en) [Adjustment for Water/Sewer Loss Form](https://www.dcwa.org/hubfs/Adjustment_for_Water-Sewer_Loss_Form.pdf?hsLang=en) [DCWA Employment Application](https://www.dcwa.org/hubfs/Application%20for%20Employment.doc?hsLang=en) [Owner Authorization for Water and Sewer Service in Name of Tenant](https://www.dcwa.org/hubfs/Owner-Authorization-for-Water-and-Sewer_Service-in-Name-of-Tenant.pdf?hsLang=en) [Owner Authorization Form For Initial Service](https://www.dcwa.org/hubfs/Owner_Authorization_Form_For_Initial_Service.pdf?hsLang=en) [Change of Mailing Address-Account Name Request Form](https://www.dcwa.org/hubfs/Change_Name-MailingAddress_Request.pdf?hsLang=en) [DCWA Cross Connection Control and Backflow Prevention Test Form](https://www.dcwa.org/hubfs/DCWA_CrossConnectControl-BackflowPrevent_Test_Form.pdf?hsLang=en) To view pdf (portable document format) files, you must have a modern pdf reader installed on your browser. You can click [here](https://acrobat.adobe.com/us/en/products/pdf-reader.html) to get a free pdf reader. #### POLICIES To ensure quality water and sewer services to our customers, DCWA has instituted several policies regarding customer and Authority responsibilities. The documents below provide a comprehensive explanation for specific policies. [Pretreatment Policy and Regulations](https://www.dcwa.org/hubfs/Pretreatment_Regulations.pdf?hsLang=en) [Discontinuation of Service Policy](https://www.dcwa.org/hubfs/Discontinuing_Service_Policy.pdf?hsLang=en) [Account Set-up Policy (Business)](https://www.dcwa.org/hubfs/Account_Set-up_Policy-Business.pdf?hsLang=en) [Return Check Policy](https://www.dcwa.org/hubfs/Return_Check_Policy.pdf?hsLang=en) [Emergency Contact Procedure](https://www.dcwa.org/hubfs/dcwa_information_2019.pdf?hsLang=en) [Drought Response Ordinance](https://www.dcwa.org/hubfs/Drought_Response_Ordinance.pdf?hsLang=en) #### REPORTS In its capacity as a water and sewer service utility, DCWA falls under the oversight of several state and federal agencies which require periodic reports in addition to those required by DCWA’s Board of Directors. The information shown below reflects the contents of those reports by specific topic. [DCWA 2025 Water Quality Report](https://www.dcwa.org/hubfs/DCWA%20Central.pdf?hsLang=en) [Lew Jones 2025 Water Quality Report](https://www.dcwa.org/hubfs/DCWA%20Lew%20Jones-1.pdf?hsLang=en)