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Get the free Pool Fill Adjustment Form - City of Gastonia

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CITY OF GASTONIA POOL FILLING ADJUSTMENT FORM NAME: ADDRESS: ACCOUNT NUMBER: PHONE NUMBER: TOTAL GALLONS POOL HOLDS: FULL OR PARTIAL POOL FILL: DATE POOL WAS FILLED: City of Gastonia Pool Fill Adjustment
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How to fill out pool fill adjustment form

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How to fill out pool fill adjustment form:

01
Begin by gathering all the necessary information and documents such as pool size, water usage, and previous water bills.
02
Carefully read the instructions provided on the form to ensure that you understand the requirements and steps involved.
03
Fill in your personal information accurately, including your name, address, and contact details.
04
Provide detailed information about your pool, such as its dimensions, volume, and any additional features or equipment.
05
Indicate the reason for requesting a pool fill adjustment, whether it is due to leakage, excessive evaporation, or any other valid reason.
06
Attach any supporting documentation, such as photographs or repair receipts, to strengthen your claim.
07
Follow any specific instructions for providing additional information or explanations, if applicable.
08
Double-check all the information you have provided to ensure accuracy and completeness.
09
Sign and date the form to certify that all the information provided is true and correct.
10
Submit the filled-out form along with any required supporting documents to the relevant authority or department.

Who needs pool fill adjustment form:

01
Pool owners or operators who have experienced excessive water loss due to leakage, evaporation, or other legitimate reasons.
02
Individuals or organizations responsible for maintaining public or commercial swimming pools.
03
Those who want to address water usage discrepancies and seek an adjustment in their water bill based on their pool's specific conditions.
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The pool fill adjustment form is a document used to report any changes in the water level of a pool, such as filling or draining, that may affect the calculation of water consumption and billing.
Any pool owner or operator who has made significant water level adjustments in the pool during the reporting period is required to file the pool fill adjustment form.
To fill out the pool fill adjustment form, you need to provide the necessary information about the pool, such as the address, owner/operator details, date of water level adjustment, reason for adjustment, and the amount of water added or drained.
The purpose of the pool fill adjustment form is to accurately account for pool water consumption and ensure fair billing based on actual water usage.
The pool fill adjustment form requires you to report information such as the pool address, owner/operator information, date of water level adjustment, reason for adjustment, amount of water added or drained, and any supporting documentation if applicable.
The editing procedure is simple with pdfFiller. Open your pool fill adjustment form in the editor. You may also add photos, draw arrows and lines, insert sticky notes and text boxes, and more.
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