Request for Utility Bill Leak Adjustment

Request for Utility Bill Leak Adjustment
Account Holder Name*

First NameLast Name
Utility Account Number*
Enter the account number exactly as it appears at the top of your utility bill.
Utility Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Select the type of repair*

Faucet/Shower/SinkHot Water HeaterPlumbing/Pipe: Behind WallPlumbing/Pipe: IrrigationPlumbing/Pipe: UndergroundPool Fill: NewPool Refill: RepairSpigotToiletOther
Location of repair*

Inside of homeOutside of home
Date of leak repair or pool fill/refill*

MonthDayYear
Date
Upload supporting documentation below.

For example: repair invoice, receipt or pool permit.

For Leaks: Documentation must include the type and date of repair along with the service address where the repair was performed. Leak adjustments are limited to two per calendar year.

For Pool Fill Adjustments: Documentation must include the date of pool fill, or refill if repaired, the estimated number of gallons filled or refilled along with the service address where the pool was installed or repaired. Swimming pools must be properly permitted pursuant to law. Pool fill adjustments are limited to one per calendar year.
Upload supporting document here*

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Billing & Collections Department
stpete.org/utilities
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