REQUEST FOR ADJUSTMENT
Section 19-19 ADJUSTMENT OF BILLS
The City Manager or his or her designee is hereby authorized to make adjustments to water bills resulting from involuntary
use of water due to leaks in water service lines or defective plumbing fixtures. Involuntary use is defined as water
consumption resulting from one of the aforementioned causes, where the billed consumption exceeds the average
monthly consumption for the previous six months by at least 100% and is a minimum of 10,000 gallons. Voluntary uses of
water such as lawn watering or failure to turn off an outside hose shall not provide the basis for a water or sewer billing
adjustment. In the event the involuntary use encompasses two billing cycles, the calculation for the adjustment utility bills
for water charges for involuntary use of water due to leaks in service lines or defective plumbing fixtures and for Sewer
billing adjustments from involuntary use of water due to leaks that did not result in the water entering the sanitary sewer.
The billing adjustment shall be based on a review of the account for the six month period prior to the involuntary use. In
the event involuntary use encompasses two billing cycles, the calculation for the adjustment shall be based upon the
average monthly consumption which exceeds two times the average monthly consumption for the previous six months. In
order to obtain a water and/or sewer billing adjustment, the account holder must provide a written request
seeking the adjustment and stating the reason for same. The request must be received by the City within sixty
days of the date of the billing for which the adjustment is sought and must be accompanied by evidence, such as
a plumber’s bill, that a leak or other involuntary use has occurred, has been repaired, and must establish that the
involuntary use did not result in the water entering the sanitary sewer system. Water and sewer billing adjustments
shall be limited to the two month period prior to the repair of the leak. Such adjustments may only be granted once in any
twelve month period. The total amount of the adjustment shall not exceed fifty percent of the excess usage.
DATE:
ACCOUNT NUMBER:
ACCOUNT NAME: (print)
SERVICE ADDRESS:
PHONE:
I hereby request an adjustment to my account for repairs completed on __________
DATE
due to .
(Please attach any paid bills or receipts that would apply to this request)
I understand and agree with the terms of this request for adjustment.
Account Holder Signature
Date
OFFICE USE:
Date of Last Leak Repair Credit: ___________________ (must be 12 months, or more)
Verified all requirements completed: ____________________ Date: ___________________
Calculated/entered by: ______________________ Date entered: ___________________
Telephone: 239-574-7722 Fax: 239-242-3898 11/2016
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