Water Leak Information
Account #: _____________________________ Phone #: _____________________________
Name: ______________________________ Address: ________________________________
The date range of leak: ___________________________
Date when leak was fixed: _______________ Leak fixed by:___________________________
What caused the leak - Example: outside pipe leak, toilet leak etc.
Please return the completed form to one of our locations or email it to email@example.com
*****This request will not stop the billing process. Any bills are still due on due date.*****
1. An invoice from a plumber
2. A work-order, if repairs were made by a
property manager through in-house
3. If repairs were made by the occupant, a
letter detailing the work done, details to
a. The date that the repairs were made.
b. A specific explanation of where the leak
was located, and what was done to
repair the leak.
c. If available, a copy of any receipts for
replacement parts and/or materials used
in making repairs.
4. Pictures of the leak area before and after the
repair is completed.
1. Water adjustment requests will be
reviewed, and adjustments calculated if
the stated criteria are met, by either the
Utility Customer Services Manager or a
Utility Customer Services Supervisor.
2. The Utility Customer Services Manager
or Supervisor must approve all water
and wastewater adjustments.
3. Upon final approval/denial of the
adjustment, the customer will be
notified of the results of the adjustment
and of the account balance after the
4. If an adjustment is denied, or if the
adjusted amount ends up being above
the normal billing amount, the customer
may request a payment arrangement
with the Utility Customer Services
Manager or a Utility Customer Services