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Leak Account Review Application

  1. Before filling out this form, please review How to Check for a Leak (PDF).

    After repairs have been made, you may be eligible for an adjustment on your City Utility bill.

  2. Account Information

  3. Customer Information

  4. Leak Information

  5. Has the leak been repaired?*

  6. Agreement and Signature

    By submitting this application, I understand that bill adjustments are not guaranteed. Leak repairs must be made within six months to be eligible for consideration of an adjustment. A review of your water usage history will determine the amount of any adjustment, if given. Billing adjustments may take one to three months to appear on your utility statement. You are responsible for the full bill amount prior to adjustment. Failure to pay your city utility bill may result in disconnection of water service and additional service fees. Charges continue to accrue whether or not the water meter is off.

  7. Leave This Blank:

  8. This field is not part of the form submission.