LEAK CHECK REQUEST FORM

LEAK CHECK REQUEST FORM
Policy & Procedure

Water Leak Determination Policy

If a property owner requests the District to check for a leak, and the District determines there is a leak on the District's side of the meter, the District will repair the leak at no cost to the property owner.

If the District determines that the property owner has a leak on their side of the meter, they must repair the leak at their own expense.

In addition, the property owner will be billed $50.00 for the District's time and labor.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Describe the problem*
By submitting this form I understand my account may be charged for the District's time and labor.
Signature*

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