Get Horizon Utilities Water Leak Adjustment Email Form

Filling out the Horizon Utilities Water Leak Adjustment Email Form online is a crucial step for residents seeking financial assistance due to water leaks on private property. This comprehensive guide will walk you through each section of the form to ensure a smooth and successful submission.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the request date and your account number in the designated fields to identify your request clearly.
3. Provide your name as it appears on the account and your mailing address in the respective fields.
4. If your service address differs from your mailing address, fill out that information in the designated section.
5. Document the dates of the high bill(s) and the repair date when the leak was fixed.
6. Clearly describe the actions taken to rectify the water leak problem. Remember to attach proof of repair, such as an itemized invoice.
7. Indicate whether you are receiving monetary assistance from any third party for the high bill. If yes, please list the sources and amounts.
8. If applicable, state whether you have submitted a claim to your insurance company regarding this leak and include the response from the insurance provider.
9. Answer if a water leak adjustment has been made for the service address in the past, noting the date if applicable.
10. Provide the number of residents living at the service address and indicate if the property was unoccupied when the leak occurred.
11. If the property was vacant, indicate the period of time it was unoccupied.
12. Print your name and provide your signature to confirm the information is true and accurate.
13. Choose your preferred method of contact for any follow-up from Horizon Utilities and provide the necessary information accordingly.
14. Review your form for completeness and accuracy before submitting. Ensure all required fields are filled in.
15. Save changes, then download, print, or share the completed form as needed.

Complete your documents online now to ensure a timely review of your water leak adjustment request.