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 ONLY 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:_____________________________________________________________________   _______________________________________________________________________________