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PO Box 190 West Milford, WV 26451 Phone: 3047453463 Fax: 3047455327 www.greaterharrison.com LEAK ADJUSTMENT REQUEST FORM TO BE COMPLETED BY CUSTOMER Name on Account: Account Number: Daytime Phone
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How to fill out leak adjustment request form

How to fill out leak adjustment request form?
01
Gather necessary information: Before filling out the leak adjustment request form, make sure to have all the required information. This may include your name, contact details, account number, and specific details about the leak, such as the location and date it was detected.
02
Download or obtain the form: Obtain a copy of the leak adjustment request form either online, through your water utility provider's website, or by visiting their office in person. If the form is available online, download and print it out.
03
Read the instructions: Carefully read the instructions provided on the form or any additional guidelines that may accompany it. This will help you understand the purpose of the form and the information required.
04
Fill in your personal details: Start by filling in your personal details accurately. This typically includes your full name, address, email address, and phone number. Ensure that all contact information is correct so that the utilities provider can reach you if necessary.
05
Specify the leak details: Provide specific details about the leak in the designated section of the form. This may include the date the leak was detected, the location of the leak (such as inside or outside your property), and any additional relevant details.
06
Attach supporting documents (if required): Some utilities providers may require supporting documents, such as photos of the leak or repair receipts, to process your request. If these documents are necessary, ensure that you have them ready for submission with the form.
07
Sign and date the form: Once you have filled in all the necessary information, sign and date the form. Your signature is typically required to acknowledge that the information provided is accurate to the best of your knowledge.
08
Submit the form: After completing the form, submit it to the appropriate department or office specified by your water utility provider. This can usually be done either by mailing the form, dropping it off in person, or submitting it online through their website.
Who needs leak adjustment request form?
01
Homeowners: Homeowners who have experienced a water leak on their property and wish to request an adjustment to their water bill may need to fill out a leak adjustment request form.
02
Tenants: If you are a tenant and are responsible for paying the water bill for the rental property, you may need to fill out a leak adjustment request form to report and rectify a water leak issue.
03
Business owners: Business owners who have their own water meter and are billed separately for water usage may need to utilize a leak adjustment request form to address any leak-related concerns and potential billing adjustments.
Note: The specific requirements for using a leak adjustment request form may vary depending on the policies and procedures established by your water utility provider.
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What is leak adjustment request form?
The leak adjustment request form is a document used to request an adjustment for leaks in utility usage.
Who is required to file leak adjustment request form?
Any individual or business that has experienced leaks in their utility usage and is seeking an adjustment must file a leak adjustment request form.
How to fill out leak adjustment request form?
To fill out the leak adjustment request form, you must provide details about the leak, the utility affected, the timeframe of the leak, and any supporting documentation.
What is the purpose of leak adjustment request form?
The purpose of the leak adjustment request form is to request an adjustment for utility usage that was abnormally high due to leaks.
What information must be reported on leak adjustment request form?
The leak adjustment request form must include details about the leak, the utility affected, the timeframe of the leak, and any supporting documentation.
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