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LEAK ADJUSTMENT REQUEST FORM ACCOUNT INFORMATION SERVICE ADDRESS: ACCOUNT #: Zone: NAME ON ACCOUNT: DATE: INFORMATION ABOUT THE LEAK APPROX. DATE OF LEAK: LOCATION OF LEAK: PLUMBER/SELF REPAIRED:

How to fill out leak adjustment request form

How to fill out a leak adjustment request form:

1. Begin by obtaining a copy of the leak adjustment request form from your water utility company. This form is typically available on their website or can be obtained in person at their office.
2. Fill in your personal information accurately and completely. This includes your name, address, phone number, and any other contact details required.
3. Provide the relevant account information such as your account number and billing period for which you are seeking the adjustment.
4. Specify the nature of the leak and provide details about when it occurred, how long it lasted, and any measures you took to fix it.
5. Attach any supporting documents that validate your claim, such as plumber's invoices, repair receipts, or photographs of the leak.
6. Indicate the amount of water that was wasted due to the leak, if known. This can often be measured in gallons or by an estimate of the duration and severity of the leak.
7. Sign and date the form to acknowledge the accuracy of the information provided.
8. Review the completed form to ensure all required fields are filled out correctly and all necessary documents are attached.
9. Submit the form to the water utility company through the designated method, which can include mailing, faxing, or online submission.
10. Keep a copy of the completed form and any supporting documents for your records.

Who needs a leak adjustment request form?

1. Homeowners or tenants who have experienced a water leak within their property.
2. Individuals who have noticed a significant increase in their water bill due to an undetected leak.
3. Anyone who wants to request an adjustment to their water bill to account for the wasted water caused by a leak.

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What is leak adjustment request form?

Leak adjustment request form is a document used to request an adjustment on a utility bill due to a leak on the property.

Who is required to file leak adjustment request form?

Any customer who has experienced a leak on their property and believes they are entitled to an adjustment on their utility bill.

How to fill out leak adjustment request form?

To fill out a leak adjustment request form, the customer must provide details about the leak, including when it occurred and any repairs that have been made.

What is the purpose of leak adjustment request form?

The purpose of the leak adjustment request form is to request a reduction or adjustment to a utility bill that has been inflated due to a leak.

What information must be reported on leak adjustment request form?

The leak adjustment request form must include details about the leak, the date it occurred, the repairs made, and any supporting documentation.