Please complete the form specific to your need and submit it to lsanchez@sampsonnc.com or mebrown@sampsonnc.com
Printed forms can also be submitted at Sampson County Public Works Office, 827 Southeast Blvd. Clinton, NC 28328.

Forms:

Bank Draft Form

Leak Adjustment

Lock Box Form

Water Service Application (Online)

Water Service Application (for print)

Work Order

---

Policies:

Water Tap General Procedures