Leak Adjustment Form

To qualify for a leak adjustment, the leak gallons must exceed the average usage by 100% or greater. Fifty percent (50%) of the excessive usage (the amount above the average bill) will be adjusted up to a maximum of three (3) months. One leak adjustment is allowed per calendar year.

Documentation of the leak repair is required. Failure to provide documentation of the repair will result in no adjustment. Receipt of parts purchased, statement from the person who made the repair, or an invoice from a plumber are acceptable forms of documentation.

Pool associated leaks of any kind are not eligible for water adjustments but may be eligible for sewer adjustment.

NOTE: Customers are required to make monthly payments while the account is under review. Failure to do so may result in service interruption. It is recommended that monthly payments equal one half of leak bills until adjustment is processed.

Printable Form

Name on Bill:*
Account Number:*
E-mail Address:

I am requesting a leak adjustment for my water bill at:

Street Address:*
Zip Code:*
Phone Number:*
Date leak found: (mm/dd/yyyy) *
Date leak repaired: (mm/dd/yyyy) *
Brief explanation of leak repair:*
File Attachment: