Fillable Water/Wastewater Leak Adjustment Request Instructions and Form WAT-D-2

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Water/Wastewater Leak Adjustment Request Instructions and Form WAT-D-2

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Water/Wastewater Leak Adjustment Request – Instructions and Form WAT-D-2
If you have experienced a leak on your property and it has impacted your utility bill, please use the following
information to complete the Water/Wastewater Leak Adjustment Request Form to request an adjustment to
your bill.
• Complete a copy of the Water/Wastewater Leak Adjustment Request Form which accompanies this
document.
• Be sure that all of your correspondence to the City of Tampa Utilities includes your service address, your
current utility account number and your daytime telephone number.
• Aer you have repaired a leak on your property, please provide the following information to document
your repair activities and your costs.
1. a completed Water/Wastewater Leak Adjustment Request Form
2. a copy of your plumber’s bill
3. a letter outlining what was repaired ( be sure your letter includes the date of repair)
4. all receipts for materials
• Submit the required form and documentation via mail or fax to:
City of Tampa Water Department / Billing Section
3901 E. 26th Ave. (not accessible to the public)
Tampa, FL 33605
Fax: (813) 274-8358
• When City of Tampa Utilities receives all of the required information, we will review your water use
over the past 12 months to determine an appropriate and fair amount to bill you for the period during
which you experienced the leak. If your utility account does not have at least a one year history of water
consumption, we may delay our response to your request until such time that your account has
accumulated a “normal use” history.
• If your bill is too large to pay in one month, please contact the City of Tampa Utilities Call Center at
(813) 274-8811, option 2, to request City of Tampa Utilities to provide payment arrangements.
Please contact the City of Tampa Utilities Call Center at 274-8811, option #3, if you have any questions.
Tampa Water Department • 3901 E. 26th Avenue •Tampa FL 33605
(813) 274-8811 • tampagov.net/Water
Oce Hours: 8am to 5pm • Monday thru Friday
Emergency Response line is available 24 hours-a-day, 7 days- a week • (813) 274-7400
Water/Wastewater Leak Adjustment Request Form
Customer Name: Account #:
Service Address: Daytime Contact Phone #:
Type of Leak:
Irrigation Toilet Pipe Other:
Date Leak Occurred: Date Leak Repaired (required to process request):
Brief description of leak and action taken to repair:
Required Documentation
Attach a copy of the repair invoice or receipts. Leak requests submitted without required documentation may be
delayed to request and receive additional information about the repair.
Only one adjustment will be allowed in a consecutive 12-month period (the highest month). Any adjustment will
occur after all leaks have been repaired and veried with an actual meter reading. The “Date Leak Repaired” eld
on this form must be completed before the request will be reviewed. This form is not a guarantee that a credit
will be applied to your utility bill. You will be notied by letter if a credit is not provided or if additional information
is needed. When determining leak-related credit, your average annual water consumption is computed and all
water use above that average use, during the highest month affected by the leak, is rebilled at the lowest tier rate
for your water use classication, i.e., residential. If your utility account does not have at least one year of water
consumption history, it may not be possible to review your account for a credit until such time as a “normal use”
history is available. Depending on the type of leak, the period of time it may have affected your bill and the total
amount of credit the City of Tampa is able to provide, you may need more than one month to bring your account to
a current status. If this is the case, please contact the Utilities Call Center at (813) 274-8811, option 2, to make
payment arrangements.
If you have any questions, please call the City of Tampa Utilities Call Center at (813-274-8811), option 3.
I have read and understand the above information.
_______________________________________________ ___________________
Signature Date
Please review, sign and return this form and documentation to:
City of Tampa Water Department/Billing Section 400D1
3901 E. 26th Avenue (not accessible to the public)
Tampa, FL 33605
Fax: (813) 274-8358
WAT-D-2a (10/17)
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WaterWastewater Leak Adjustment Request Instructions and Form WAT-D-2

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Completed 16 July 2020

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