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Leak Adjustment Request
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This form has been modified since it was saved. Please review all fields before submitting.
Leak adjustments are given for
sewer charges only
on qualifying leaks where proof of repair is provided. Toilet leaks do not qualify. Customers are eligible for one leak adjustment every three years. Once your request has been received, it may take up to six (6) weeks before the request is approved or denied.
Name of Account Holder
*
Account Number
Service Address
*
Address2
City
*
State
*
Zip
*
Email Address
Phone
Please describe the leak and repair, including dates.
*
Adjustments are *not* given for toilet leaks.
Proof of Leak Repair
*
Please submit a copy of the receipt for plumber services or purchase of repair supplies. Proof of leak repair is required for a leak adjustment.
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