LEAK ADJUSTMENT REQUEST FORM
PO BOX 4009 * 7412 Emerald Drive Emerald Isle, NC 28594 Office: (252)354-3307 Fax: (252)354-2563 sguthrie@boguebankswater.com
PLEASE UPLOAD, EMAIL OR MAIL IN A COPY OF PLUMBERS BILL OF LEAK REPAIR TO OUR OFFICE
In order to review your residential account for an adjustment, please explain in full detail all information regarding leaks and repairs, attaching copies of all repair receipts. BBWC will calculate the overage and absorb approximately fifty percent of the excess above the account’s average water bill. Adjustments can only be completed after it has been determined that the leak has been repaired. The minimum will be $10.00. Please note: we do not offer courtesy leak adjustments on irrigation systems. One adjustment per account location per 12-month period will be allowed.
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UPLOAD COPY OF PLUMBERS BILL
EMAIL:
ACCOUNT NUMBER:
NAME:
PROPERTY ADDRESS:
MAILING ADDRESS:
PHONE NUMBER:
LEAK DATE
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REPAIR DATE
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PROBLEM:
ELECTRONIC SIGNATURE OF ACCOUNT HOLDER
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