Leak Adjustment Request

Last winter, there was a significant increase in your water usage that will result in an increase in your sewer charges. Residential sewer charges are based on the average winter water usage provided every two months by Veolia for October 15 through April 15. Winter readings are used as typically there is minimal outside water usage.

If you had a leak between October 15 and April 15, you may qualify for a Leak Adjustment. To submit a Leak Adjustment request, complete the following form and attach the required documentation. Failure to provide all the required information and/or documentation will result in denial of this request.

All adjustments are completed for the next billing cycle unless disputed with-in 15 days of receipt of the bill.

Account Information

Name on Account *

Account Number *

Daytime Phone Number *

Email * By providing your email, you will be sent a copy of this form submission.

Service Address *

City, State, Zip *

Number of people in the household *

Leak Information

Type of leak *

Inside

Outside

Date leak occurred *

Date leak repaired *

Description of leak *

Documentation - You are required to provide a copy of the repair invoice (if repaired professionally), a copy of repair receipts (if repaired by self) a copy of the Veolia Water meter readings showing reduced water consumption after repair.

Document Upload Please upload document file types here. These file types include doc, docx, pdf, and zip. If you have image file types to upload, please use the next field. Please note: Total attachment size should be less than 8MB for your form to process.

Image Upload Please upload image file types here. These file types include jpg, png, gif and tif. If you have document file types to upload, please use the previous field. Please note: Total attachment size should be less than 8MB for your form to process.

* Required

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Leak Adjustment Request

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