Wastewater from the Arenga starch industry (WWAS) contains a high chemical oxygen demand (COD) concentration, so it has to be treated before being discharged into water bodies. Therefore, the purpose of this study was to utilize WWAS as a medium for bacterial cellulose (BC) and cellulose acetate (CA) production. This study consisted of the production of BC through fermentation and the production of CA through acetylation. Fermentation was conducted under static batch conditions with various initial pHs and sucrose additions, while acetylation was conducted with various BC-acetic anhydride ratios. The results of this study showed that the maximum BC production of 505.6 g/L of the culture medium was obtained under the optimal conditions of a sucrose addition of 200 g/L, an initial medium pH of 4.5, and a cultivation time of 14 d. Furthermore, a BC-acetic anhydride ratio of 1:3 resulted in CA being suitable as a biofilm raw material with a yield of 81.49%, an acetyl content of 39.82%, a degree of substitution of 2.456, and a degree of crystallinity of 36.7%. FT-IR, 1H and 13C NMR, XRD, and SEM analyses confirmed the successful process of acetylation of BC to CA.