Get Water Leak Adjustment Request Form

Filling out the Water Leak Adjustment Request Form is a straightforward process that enables you to seek financial relief for water usage caused by a leak. This guide will walk you through each section of the form to ensure you complete it accurately and efficiently.

Follow the steps to successfully complete the request for adjustment.

1. Press the ‘Get Form’ button to retrieve the Water Leak Adjustment Request Form and open it in your preferred editor.
2. Enter the request date in the designated field to indicate when you are submitting this request.
3. Provide your utility account number. This number is crucial for identifying your account within the utility system.
4. Write your name exactly as it appears on the utility account in the 'Customer’s Name' field.
5. Fill in your mailing address where correspondence regarding the request will be sent.
6. Input your phone number to enable the utility to contact you if further information is required.
7. If the service address differs from your mailing address, indicate it in the designated field.
8. Specify the date of the bill that includes the water usage associated with the leak.
9. Input the leak repair date when the issue was resolved.
10. Detail the source and location of the leak in the provided space to give context to your request.
11. Describe the actions taken to repair the leak, ensuring to note that proof of repair must accompany your submission.
12. Include supporting documentation such as invoices or receipts in the form of attachments when you submit the form.
13. Read the conditions for the utility's discretion in granting a credit, to ensure you meet the necessary requirements.
14. Complete the certification statement, confirming the accuracy of the information you have provided by signing and dating the form.
15. After completing all required fields, save your changes, then choose to download, print, or share the completed form as needed.

Take action now and complete your Water Leak Adjustment Request Form online for a potential credit on your utility bill.