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BREAK LEAK ADJUSTMENT

 

 

POLICY: A ONE TIME CREDIT WILL BE ALLOWED WITHIN A 12 MONTH PERIOD IF THE CUSTOMER CAN DEMONSTRATE THAT THE EXCESSIVE WATER DID NOT ENTER THE SEWER SYSTEM. WE CAN NOT ADJUST WATER USAGE; WE CAN ONLY ADJUST THE SEWER USAGE OF YOUR BILL. THE CUSTOMER MUST REQUEST ABATEMENT IN WRITING WITHIN 60 DAYS OF THE DATE OF THE EXCESSIVE BILL. YOU MUST PROVIDE A RECEIPT OF REPAIRS OR PARTS USED TO BE CONSIDERED FOR A LEAK ADJUSTMENT SEWER CREDIT.

 

 

DATE:  ________________________    NAME:  __________________________________

 

SERVICE ADDRESS: _________________________________________________________

 

CUSTOMER PHONE NUMBER:______________ CUSTOMER CELL NUMBER ___________

 

REASON FOR LEAK ADJUSTMENT REQUEST: ____________________________________

 

________________________________________________________________________________

 

DATE LEAK WAS DETECTED:____________  DATE LEAK WAS REPAIRED:____________

 

NAME AND NUMBER OF PERSON WHO MADE THE REPAIRS:_______________________

 

________________________________________________________________________________

 

 

CUSTOMER SIGNATURE: _____________________________________________________

 

 

RECOMMENDATION OF BOARD OF DIRECTORS

 

APPROVED ________________________________________________________________

 

DENIED_________________________________________________________________________

 

SEWER ADJUSTMENT AMOUNT______________________________________________________

 

COMMENTS:_____________________________________________________________________

 

_______________________________________________________________________________






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