Get City Of Houston Public Works And Engineering

This guide provides clear, step-by-step instructions for filling out the CITY OF HOUSTON Public Works And Engineering Leak Adjustment Request Form. Whether you are a first-time user or have prior experience, this comprehensive guide will assist you in completing the form accurately.

Follow the steps to fill out the Leak Adjustment Request Form effectively.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Enter your account number in the designated field. This is crucial for identifying your service account.
3. Provide the service address where the leak occurred. Ensure that the address is accurate and matches your account details.
4. Fill in your daytime phone number. This information allows the city to contact you if additional information is needed regarding your application.
5. In the designated field, write your full legal name or business identity, confirming you are the responsible party for the account.
6. State the date when the leak began and the date it was repaired. Accurate dates are essential for processing your request.
7. If any additional water appliances were installed during the leak period, list them accordingly. If none were added, state 'NONE.'
8. Describe the type of leak on the customer's side of the meter. Be as detailed as possible to assist in the verification process.
9. Provide a clear description of the repair made, including any necessary details that could help with your request.
10. Attach documentation regarding the repair date, address, type of repair, and cost. Acceptable documents include a plumber's statement or receipt for parts.
11. Read the certification statement carefully. By signing this section, you affirm the accuracy of the information provided.
12. Finally, print your name, enter the date, and provide your signature to complete the form.
13. Submit the completed form by either mailing it to the Utility Customer Service or faxing it to the provided number.

Complete your documents online to ensure a timely and effective process.