Water Bill Adjustment Request

Water Bill Adjustment Request
REPAIRED LEAK ADJUSTMENTS

You must have the information below with you when we discuss a possible adjustment.

PLEASE READ TO MAKE SURE YOU HAVE THE FOLLOWING:
- An invoice from the company that fixed the leak and/or a receipt for the parts purchased for the necessary repair.
- A signed letter explaining what was wrong and the date it was fixed.
- If you are the OWNER of the property and have direct knowledge of the completed repairs, you may write a letter of verification of the repairs including what was wrong and the date it was fixed.
The following conditions must apply to receive ANY adjustment:
- Consumption has gone down/decreased at the property, close to historical averages. This may take two billing cycles to show a decrease of water use.
- Have NOT had a similar adjustment within the past two years.
Additional Information:

We can only adjust the two highest invoices from when the increase in water use was noticed or noted through the repair date.

The adjustment will be provided for water use above the average; we review the average from a 12 month time frame.

We recommend you pay, at minimum, the average use invoice to avoid a service disruption.

You may request utility bill assistance at https://epass.nc.gov/.

You may request an installment plan. We do not recommend requesting an installment plan until the water use has decreased, as it will result in paying the negotiated amount + the total new invoiced amount. It may/or may result in an amount that is not reasonable to pay.

Once approved, you may:
- Request the overpayment back as a refund.
- Keep any credit balance on the account until a credit balance no longer exists.
- Request an installment on the remaining balance.
Account Number
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of People in the Household
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Landlord's Name

First NameLast Name
Landlord's Phone Number
Please enter a valid phone number.
Approximate Date of Repair*

MonthDayYear
What issue was repaired?*

Leaking or Running ToiletBurst Pipe CONCEALED (backflow, in the wall, under house/slab, leaking cutoff valve)Burst Pipe UNCONCEALED (water heater, hoses - washer, fridge, ice maker, outside)UndergroundUnknown
Upload documentation

Receipt for repairs or parts. Signed letter of explanation.
Cancelof
Additional Information
Please note: Before any adjustment can be applied to the account, consumption must have decreased after the repairs are made to near historical average.
Signature*

Clear
Adjustment of Overcharges Policy
Should be Empty:

Water Bill Adjustment Request

REPAIRED LEAK ADJUSTMENTS