Leak Adjustments approved by Jackson County Water Utility, INC can save a member 40% of leak and can include up to three consecutive months. Members can only take a leak adjustment if repairs have been made and member has had a true leak. Leak adjustments do not include filling of swimming pools or high usage. Only one leak adjustment every 5 years is allowed per membership.
Service Address of Leak
Location Of Leak On Your Property
Approximate Leak Dates
Date Water Utility Was Notified Of Leak
Date Leak Repaired
Who/Whom made leak repairs
Note: if you have a certification or receipt of who/whom make leak repairs please email to firstname.lastname@example.org or provide a copy to office staff.
I affirm under the penalty of perjury that I (Member) have repaired the leak at the address stated above and have not had a leak adjustment on any prior accounts in the last 5 years.
Signature (Type your name)
Date (Type today's date ex.. 01/01/2020)