Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. In the ‘Persoonsgegevens’ section, enter your personal details including your name, customer number, phone number, street address, postcode, email, number of people in your household, house number, and place of residence.
3. Move to the ‘Vragen over de lekkage’ section and answer the questions regarding the leak detection. Provide details on how and when the leak was discovered, specify if it was a leak (crack or hole) in the water supply line, and indicate the location of the leak.
4. Indicate the type of material where the leak occurred, selecting from options such as lead, steel, copper, plastic, or PVC.
5. Describe the specific defect that caused the leak. Provide accurate details, such as corrosion, breakage, or any other relevant issues.
6. Next, confirm if the leak has been repaired. If so, include the date and a brief description of how the leak was repaired.
7. Specify the nature of the water use, indicating whether you are a private or business customer, and the type of connection, such as a fixed, temporary, or construction connection.
8. In the ‘Meterstand’ section, provide the current meter reading and the date it was recorded.
9. Confirm whether you have attached the invoice from a recognized installation company or materials used for the repair.
10. Once you have completed all fields, review your information for accuracy before proceeding. You may save changes, download, print, or share the completed form as needed.

Complete your Aanvraagformulier Lekvergoeding online today for a smooth application process.