City of Oakwood

REQUEST FOR SEWER REDUCTION CREDIT

Date: Account No.
Name on Account: Phone No.
Service Address: Bill Due Date:
Reason for Leak Request (customer statement – what leaked and timeframe)
Documentation included with request
Copy of Statement or invoice showing
  • Date of repair
  • Explanation of where the leak was located (could be included in customer statement)
  • What was repaired (plumbing, piping, fixtures, appliances, etc.)
Customers Statement – if not completed above or additional room is needed
Photographs
CITY OF OAKWOOD USE ONLY
Date of bill (s) affected:
Average Consumption:
Amount Adjusted:
Notes: