Leak Adjustment Request

To request an adjustment for a leak, please fill out the form below. Please note the following criteria must be met to be eligible for adjustment per Regulation 1, Section 7. Leak adjustment requests must be made within four months from when the leak occurred. No more than one water bill will be adjusted among any 24-month period.

In order to be eligible for any future leak adjustments on the account, the customer must remain signed up for leak alerts.

Customer's meter has been and is operating accurately
No evidence that excessive water delivery was caused by an intentional or negligent act of the customer
That upon becoming aware of the excessive water delivery the customer promptly took reasonable action to discover the cause and correct it

By checking this box, I confirm that this account is registered for leak alerts.

Prior to issuing the adjustment, the customer must sign up for leak alerts via the online customer portal.

Water Account Number (format: 000-00000-00)

Name *

Phone Number *

Email *

Service Address *

Address Line 1

City

State

Zip Code

Approximate Date(s) Leak Was Discovered and Fixed *

Description of Leak or Excessive Water Use *

Additional Notes

Proof of Repair

Click or drag files to this area to upload. You can upload up to 3 files.

Attach any receipts, photos, or other proof of repair

Electronic Signature *

By selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.