Follow the steps to successfully complete your adjustment request.

1. Click ‘Get Form’ button to obtain the form and open it in the document editor.
2. Enter your customer name in the designated field. Ensure that the name matches the account on file.
3. Fill in your service address where the leak occurred. Include the city and state, along with the zip code for accurate identification.
4. Input your Aqua water account number. This is essential for processing your request.
5. List the billing months that are affected by the leak. It is important to note that any adjustment made will appear on the highest month’s bill.
6. Document the date the leak was fixed. This date helps Aqua verify when the issue was resolved.
7. Provide a contact phone number where you can be reached regarding your request.
8. Sign the form and include the date you signed it. Your signature confirms the accuracy of the information provided.
9. Gather copies of any repair bills and receipts related to the leak repair. These documents must be submitted along with the form.
10. Once completed, save any changes, download or print the form, and submit it to Aqua via mail, fax, or email to the appropriate address.

Complete your water leak adjustment request today to potentially receive a credit on your bill.