REQUEST FOR UTILITY LEAK ADJUSTMENT - tukwilawa 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the 'CUSTOMER NAME' field, followed by the date of completion.
  3. Fill in the 'ADDRESS WHERE LEAK OCCURRED' section with the specific location of the leak.
  4. Provide your contact number in the 'PHONE #' field and include your account number in the 'ACCOUNT #' section.
  5. In the statement provided, confirm that you have repaired the leak and understand that this request does not guarantee an adjustment. Sign and date at the bottom of this section.
  6. Indicate the approximate date you noticed the leak and when it was repaired. Include details about who repaired it and where exactly the leak occurred.
  7. Attach any necessary documentation, such as repair bills or receipts, to support your request for an adjustment.

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