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WATER LEAK ADJUSTMENT REQUEST FORM Request Date: Utility Account Number Clerk Initials Customers Name as listed on Account: Mailing Address: Phone Service Address (if different from mailing address)
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How to fill out water leak adjustment request

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How to Fill Out a Water Leak Adjustment Request:

01
Begin by obtaining a water leak adjustment request form from your water utility company or downloading it from their website. Make sure you have all the necessary documents and information before starting the process.
02
Fill in your personal details such as your name, address, and contact information. This will ensure that the water utility company can easily identify your account and process your request without any delays.
03
Provide specific details about the water leak incident in the form. Include the date and time when you noticed the leak, as well as any relevant information regarding the location and severity of the leak. The more detailed and accurate the description, the better the chances of a successful adjustment request.
04
Attach any supporting documents or evidence related to the water leak incident. This could include photographs of the leak, copies of repair invoices, or any other documentation that validates your claim. These documents will strengthen your case and improve the chance of an adjustment being granted.
05
Estimate the amount of water consumed due to the leak. This can usually be calculated by comparing your average water usage before and after the leak occurred. Provide an accurate estimate, as it will determine the adjustment amount you may be eligible to receive.
06
Sign and date the water leak adjustment request form to confirm that all the information provided is true and accurate. Ensure that you have reviewed the form thoroughly before submitting it to the water utility company.

Who needs a water leak adjustment request?

01
Homeowners or tenants who have experienced a water leak on their property and wish to request an adjustment on their water bill.
02
Businesses or commercial property owners that have encountered a water leak and want to seek compensation for the excess water usage caused by the leak.
03
Individuals or organizations who believe that they are not responsible for the water leak and would like the water utility company to investigate and adjust their water bill accordingly.
It is important to remember that the requirements and procedures for filing a water leak adjustment request may vary among different water utility companies. Therefore, it is advisable to consult the guidelines provided by your specific water utility company or contact their customer service for additional information.
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Water leak adjustment request is a request filed by a customer to adjust their water bill due to a water leak on their property.
Any customer who has experienced a water leak on their property that has resulted in a higher than usual water bill is required to file a water leak adjustment request.
To fill out a water leak adjustment request, customers must contact their water utility provider and provide necessary documentation such as proof of the water leak and repair receipts.
The purpose of a water leak adjustment request is to provide customers with an opportunity to have their water bill adjusted to reflect the actual water usage after a water leak.
The information that must be reported on a water leak adjustment request includes the date of the water leak, the repair receipts, and any other supporting documentation.
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