Get Courtesy Leak Adjustment Request Form 2018-2026

Filling out the Courtesy Leak Adjustment Request Form online can help you request an adjustment for excessive water usage due to a leak. This guide provides detailed instructions to assist you through each section of the form.

Follow the steps to complete the Courtesy Leak Adjustment Request Form online

1. Click ‘Get Form’ button to access the form and open it in the online editor.
2. Provide your name on the account in the designated field. Make sure the name matches the one associated with your account.
3. Enter your account number in the appropriate field. This information can typically be found on your water bill.
4. Fill in your service address. This should be the address where the service is provided.
5. Include your contact phone number in the specified section. This allows customer service to reach you if needed.
6. Document the date you discovered the leak. Accurate dates help in processing your request efficiently.
7. Indicate whether the leak was professionally repaired or self-repaired by checking the appropriate box.
8. If applicable, attach documentation of the repair. This could be a plumber's bill or a statement of materials purchased for self-repairs.
9. In the 'Description of leak and repair' section, provide detailed information about the nature of the leak and the steps taken to repair it.
10. Sign and date the form at the bottom. This confirms that the information you've provided is accurate to the best of your knowledge.
11. Once all sections are completed, save your changes. You can then download, print, or share the form as necessary.

Complete your Courtesy Leak Adjustment Request Form online today for timely support.