Fillable LEAK REVIEW REQUEST FORM (City of Morro Bay)

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LEAK REVIEW REQUEST FORM (City of Morro Bay)

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LEAK REVIEW REQUEST FORM
Primary Customer Phone
Service Address
Account Number
Mailing Address
I, am requesting to be considered for Leak Review
for the service address listed above. I understand that I will also need to provide proof of repairs
(i.e. invoice from a company used to repair the leak, receipts of materials if the leak was
repaired by the customer and/or photos.)
Details regarding the leak are as follows:
I have received a copy of the Leak Review Policy and the information provided is true to the
best of my knowledge.
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LEAK REVIEW REQUEST FORM (City of Morro Bay)

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Completed 14 July 2020

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