Forms, Permits & Applications

Water Leak Adjustment Form

  1. I attest that the leak, for which this billing adjustment is being prepared, has been repaired: attached hereto is a copy of proof that said repairs were completed (plumber's invoice or receipt for parts/labor with detailed statement of leak and measures taken to fix leak). The owner has a responsibility to repair the leak within 30 days of being notified of the leak to qualify for a leak adjustment. If a leak affects more than one billing cycle, then both billing cycles will be adjusted accordingly. 

  2. Leave This Blank:

  3. This field is not part of the form submission.