Personal Information Request

At WaterSmart we respect your choices about privacy and how your information is used (see privacy policy). To request we disclose or delete all of the information we have about you, please submit this form.

Name
Account Email on File
Account Number

Service Address

Address Line
City
State
Zip
Service Phone Number
Nature of Request
Request for Categories of Information Request for All Personal Information Request for Deletion
Authorized Agent

I am an authorized agent who is making this request for an account holder.
Agent Name
Agent Email

This request will be confirmed by email within ten (10) days and fulfilled by providing or deleting the requested information within forty-five (45) days. If we are unable to do so, we will inform you that we need an additional forty-five (45) days.

Personal Information Request

Form Submitted

Error in Submission