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Leak Adjustment Request Form

  1. Leak Adjustment Request Form

    Please complete this form if you have repaired a leak, and would like to request an adjustment on your bill.

  2. One 60-day billing cycle

  3. The leak must be repaired before requesting a bill adjustment.

  4. Please be as specific as possible.

  5. Upload copies of any repair bills or receipts for parts.

  6. If unable to scan and upload documents, check this box to acknowledge that you will hand deliver or mail paper copies of required documentation.

  7. Once we receive this request, it will be reviewed and you will receive notification of any available adjustment. Once you have authorized the adjustment, the credit to your account will be processed.

    Please contact the office if you have any questions 425-355-3355.

  8. Leave This Blank:

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