Form Center

2. Account Number*
   999xxxxxx
4. First Name*
5. Last Name*
7. Service Address*
9. City*
10. State*
11. Zip*
13. Daytime Phone Number*
    xxx-xxx-xxxx
15. I would like the Frederick County Division of Water and Sewer Utilities (DWSU) staff to get an interim meter reading.
16. Desired Meter Read Date*
18. An interim bill will be generated the next business day following the date of the interim meter reading. It will be sent electronically to you at the following e-mail address:
20. E-Mail Address*
22. By initialing, I agree to the following terms: The DWSU will get a meter reading as close to the indicated date as possible. I understand and agree to pay the $35.00 fee for the interim meter reading. This fee will be added to the interim bill.
23. Initials*
25. Signature*
    Enter first and last name
26. Date
    Date
28. To receive a copy of your submittal, please re-enter your e-mail address below. If a copy is not needed, simply un-check the "Receive email copy" box. If you have any questions, please call (301) 600-2354.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field