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After repairs have been made, you may be eligible for an adjustment on your City Utility bill.
*inside/outside the home - give as much specificity as possible*
By submitting this application, I understand that bill adjustments are not guaranteed. Leak repairs
must be made within six months to be eligible for consideration of an adjustment. A review of
your water usage history will determine the amount of any adjustment, if given. Billing
adjustments may take one to three months to appear on your utility statement. You are
responsible for the full bill amount prior to adjustment. Failure to pay your city utility bill may result
in disconnection of water service and additional service fees. Charges continue to accrue whether
or not the water meter is off.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
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