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Leak Adjustment Form

  1. Disclaimer: I understand a leak credit is a courtesy and will not cover the full amount of the water bill nor the cost of the repair. The repair must be made prior to requesting a credit (turning off the water supply does not qualify as a repair). Credits are limited to one per address in a 12-month period. Please allow 10 business days for the account to reflect the adjustment. By clicking “submit”, you agree to this disclaimer.
  2. Type of Leak*
    Check all that apply
  3. Leak Repaired By:*
  4. Current usage three times (3x) greater than the prior year?
    • Yes
    • Inside Leak = $25
    • Irrigation = $75
    • Outside Service Line = $150
    • No
    • No leak credit available
  5. Leave This Blank:

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