
The City of New York Department of Environmental Protection Bureau of Customer Services (BCS)CUSTOMER DISPUTE FORM IDENTIFYING INFORMATION (PLEASE PRINT ALL SECTIONS OF THIS FORM) 1. Account Number.
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How to fill out the NY Customer Dispute Form online
This guide provides comprehensive and user-friendly instructions for completing the NY Customer Dispute Form online. By following these steps, users can effectively submit their dispute regarding water and wastewater charges.
Follow the steps to complete the NY Customer Dispute Form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your identifying information. Include your account number as it appears on your water bill, your customer name, borough, block, and lot number.
- Fill in the service address along with home, daytime, and mobile telephone numbers. If your mailing address differs from the service address, provide it in the appropriate field.
- If an authorized representative is submitting the form, include their contact information and attach the Letter of Authorization.
- Select the type of property by checking the appropriate box, such as residential, commercial, industrial, or other.
- Indicate the grounds for the dispute by checking all relevant categories, such as high bill or estimated bill. Specify the amount in dispute and type of dispute.
- Briefly explain the basis for your dispute, making sure to provide as much detail as possible. If more space is needed, attach additional sheets.
- You must sign and date the form, certifying that all information provided is true to the best of your knowledge.
- Once completing the form, check for accuracy and either save your changes, download a copy, print the document, or share it for submission.
Complete your NY Customer Dispute Form online today to ensure your dispute is addressed promptly.
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