Leak Adjustment Request Form - Southaven - southaven 2026

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  1. Click ‘Get Form’ to open the Leak Adjustment Request Form in the editor.
  2. Begin by entering your Customer Name in the designated field. This should be the name of the individual requesting the adjustment.
  3. Next, fill in the Owner/Landlord section if applicable. This is important for identifying who is responsible for the property.
  4. Provide your Service Address and Mailing Address. Ensure these are accurate to avoid any processing delays.
  5. Enter your Phone Number and Customer Account Number, which can be found on your utility bill, to help us verify your account.
  6. Indicate the DATE OF REPAIR and who REPAIRED BY by filling in those fields clearly.
  7. In the Explanation and location of leak section, provide a detailed description of where and how the leak occurred.
  8. Finally, sign in the Customer Signature field and date it accordingly before submitting your form.

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