DCWD ELECTRONIC BILLING (E-BILLING) SERVICE ENROLLMENT FORM

Starting year 2020 DCWD expanded the Electronic Billing Service (E-Billing) wherein monthly water bill is sent through
short message system (SMS) in customer’s mobile phone number registered with DCWD. Customers already registered
with e-billing service can also receive text bill by providing mobile number.

FILL OUT AND SUBMIT THIS FORM COMPLETELY TO DCWD OFFICES AT:
KM. 2.5 MAC ARTHUR HIGHWAY, MATINA, DAVAO CITY
2ND FLOOR, VICTORIA PLAZA MALL, DAVAO CITY
KM. 5 J.P. LAUREL AVE. BAJADA, DAVAO CITY
TORIL DISTRICT HALL, DAVAO CITY
Or send the filled-out form at commercial@davao-water.gov.ph

Account Name : ____________________________________________________________________________

Account Number/s: ___________________________________________________________________________
Address : ____________________________________________________________________________
Contact Details:
E-Mail Address : ___________________________ Alternate e-mail: ______________________________
Mobile Number/s : __________________________________ ; ________________________________________
Landline Number/s: __________________________________ ; ________________________________________

Terms and Conditions:

1. The provision in the Service Connection Contract pertaining to water bill delivery is deemed amended by signing and accomplishing
DCWD e-billing enrollment form.

2. The account holder agrees that the monthly water bill will be received through the email address / SMS provided in the enrollment form
and no longer in printed bill.

3. DCWD e-billing service will commence in the next billing schedule after receipt of the accomplished enrollment application form.

4. The account holder shall notify the Commercial Services Department in writing or through commercial@davao-water.gov.ph for
cancellation of the e-bill service or any change in email address .

5. In case of misrepresentation and the like, the DCWD will terminate the e-bill service and it shall not be held liable with the account holder.

By signing below, I confirm that all information given by me is true and correct; and I hereby agree to the above-enumerated terms and conditions
governing this e-billing service.

Signature over printed name _________________________________ Date __________________

(Note: Attach photocopy of valid I.D with specimen signature of Account Holder)

Approved by _______________________________________

DCWD electronic billing service is implemented in accordance to the Data Privacy Act of 2012