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LEAK ADJUSTMENT
REQUEST Forth City Josephine WATER DEPARTMENT
P.O. BOX 99 201 MAIN ST
JOSEPHINE, TX 75164
PHONE: 9728438282 FAX: 9728438377
EMAIL: water@cityofjosephinetx.com
WEBSITE: www.cityofjosephinetx.comPLEASE
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How to fill out leak adjustment request form
How to fill out leak adjustment request form
01
Obtain a copy of the leak adjustment request form from your water utility company.
02
Provide your personal information such as name, address, and account number.
03
Indicate the dates of the leak and when it was repaired.
04
Include any supporting documentation such as invoices for repairs or photos of the leak.
05
Submit the completed form to your water utility company for review.
Who needs leak adjustment request form?
01
Customers who have experienced a leak in their water system and want to request an adjustment on their bill.
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What is leak adjustment request form?
The leak adjustment request form is a document used by customers to request an adjustment to their water bill due to unusually high usage caused by a leak in their plumbing.
Who is required to file leak adjustment request form?
Customers of water utility services who experience significant water loss due to a leak are required to file the leak adjustment request form.
How to fill out leak adjustment request form?
To fill out the leak adjustment request form, provide your account information, describe the nature of the leak, attach any relevant documentation (such as repair bills or plumber statements), and submit the form to the appropriate utility office.
What is the purpose of leak adjustment request form?
The purpose of the leak adjustment request form is to formally request a review and adjustment of water charges based on verified leakage to ensure customers are not penalized for unavoidable water loss.
What information must be reported on leak adjustment request form?
The form must include personal information such as account number, contact information, details about the leak, dates when repairs were made, and documentation supporting the claim.
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