Request for Utility Bill Review or Adjustment

Account Holder Name*

First NameLast Name

Service Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Account Number*

Please provide the account number exactly as it appears at the top of your utility bill

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

How many utility bills are you requesting for review or adjustment?*

Please provide the date of the utility bill for review or adjustment*

Date

Please provide the date of the utility bill for review or adjustment *

Date of Utility Bill #2

Please select the reason for review or adjustment*

1. Repair of involuntary leak2. New or repaired permitted swimming pool3. Flooded structure during a hurricane/flooding event (for pool related issues select #2 above)4. High bill in absence of a leak with a mechanical water meter5. Abnormal event: Usage is unaccounted for, unexpected, or due to unusual or extenuating circumstances, including but not limited to l system damage due to accidents, vandalism, water theft, or other occurrences generally beyond customer's control.6. Abnormal event following a declared state of local emergency: Usage is unaccounted for, unexpected, or due to unusual or extenuating circumstances beyond customer's control.

By submitting this request, you agree that all information is true and correct to the best of your knowledge.

REQUIRED SUPPORTING DOCUMENTATION

Repair of Involuntary Leak: Documentation of repair must include the type and date of repair along with the service address where the repair was performed. Documentation must also include proof of repair, including but not limited to, invoice from plumber, receipt showing proof of purchase of repair supplies, and/or pictures of repair.
New or Repaired Swimming Pool: 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. Documentation must also include proof of repair, including but not limited to, invoice from plumber, receipt showing proof of purchase of repair supplies, and/or pictures of repair. Swimming pools must be properly permitted pursuant to law.
High Bill in Absence of a Leak with a Mechanical Water Meter: For mechanical water meters only. Documentation must include certification of no leak on private property from a licensed plumber or leak detection company. Please note: If you need assistance determining if your location is serviced by a mechanical water meter, please contact Customer Service at (727) 893-7341.
Abnormal Event: Documentation of the abnormal event and a written request seeking the adjustment.

Upload supporting document here*

Additional Comments*

Under Florida Statute 119 (Public Records) your email communications may be subject to public disclosure. By clicking Submit, you agree that all information is true and correct to the best of your knowledge.*

Billing & Collections Department
www.stpete.org/utilities