Customer Feedback
*This form is not intended to be used to submit problems with your account or service at your location but a way for us to collect the opinions of our customers to better our operations. Please call 423-877-3513 if you have a problem with your water service or account that needs immediate response.

What kind of comment would you like to send?

Complaint Problem Suggestion Praise

What about us do you want to comment on?

Other:

Enter your comments in the space provided below:

Tell us how to get in touch with you:

 Customer Water Account Number

                       First Name

                        Last Name

                            Address

                                 City

                                State

                           Zip Code

                   Phone Number

                  E-mail Address

                      Fax Number

                                                                      Please contact me as soon as possible regarding this matter.

THANK YOU FOR YOUR TIME!

Hixson Utility District. All rights reserved.
Revised: September 14, 2010 .