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LEAK ADJUSTMENT
REQUEST FORM
General Guidelines
Effective May 8, 2012, the Orange County Board of County Commissioners approved Resolution No. 2012M11 titled,
Billing Adjustments For Excessive Water
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How to fill out leak adjustment request form
01
To fill out the leak adjustment request form, follow these steps:
02
Start by entering your personal information, such as your name, address, and contact details.
03
Provide the account number associated with the water utility service for which the leak adjustment is being requested.
04
Indicate the date and time when the leak was discovered and when it was fixed.
05
Describe the nature of the leak, including its location and the extent of the damage caused.
06
Attach any supporting documents, such as photographs or repair receipts, that validate the leak and the associated expenses.
07
Specify the amount of the adjustment being requested, which should reflect the excess water consumption due to the leak.
08
Sign and date the form before submitting it to the relevant department or authority responsible for leak adjustments.
09
Note: The exact format and requirements may vary depending on the specific organization or jurisdiction. It is advisable to consult the provided instructions or contact the appropriate authority for any additional guidance.
Who needs leak adjustment request form?
01
Anyone who has experienced a water leak in their property and wishes to request an adjustment for the excess water consumption may need a leak adjustment request form. This can include residential customers, commercial entities, or any individual or organization connected to a water utility service. The form allows the concerned party to provide necessary details and evidence to support their claim for a leak adjustment.
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What is leak adjustment request form?
The leak adjustment request form is a document used to request an adjustment for water usage due to a leak.
Who is required to file leak adjustment request form?
Any customer who has experienced a leak on their property and wants to request an adjustment for the excess water usage.
How to fill out leak adjustment request form?
The form typically requires the customer to provide details about the leak, including when it occurred, where it was located, and any repairs that were made.
What is the purpose of leak adjustment request form?
The purpose of the form is to allow customers to request an adjustment for excessive water usage caused by a leak, and potentially reduce their water bill.
What information must be reported on leak adjustment request form?
The form typically requires information about the leak, including when it occurred, where it was located, and any repairs that were made.
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