Union Hill Water Association
Application
for Leak Adjustment Credit
Name:
______________________________________________ Date: _____________
Service
Address:__________________________________________________________
Mailing
Address:__________________________________________________________
Phone
Number: __________________________
The
Union Hill Water Association’s leak credit policy is as follows:
It
is the member’s responsibility to properly maintain his or her water
system and any irrigation sprinkler system connected to such system. The
member’s water system includes all water and related facilities and
appurtenances on the member’s side of the water meter. This
responsibility includes the responsibility to promptly discover and repair
leaks in the member’s water system and to limit the amount of water loss
through a leak. A leak in the
members’ water system is the sole responsibility of the member.
The Association may, in its sole
discretion, grant a credit to a customer’s water bill for a leak in the
member’s water system under the following conditions:
·
The leak has been repaired. Proof of
repair to the Association’s satisfaction will be required by the
Association before a credit is granted.
Proof of repair, i.e. receipts for any parts or services purchased, must
be submitted with this form.
·
The customer is not in violation of any
Association policies and is otherwise current in the member’s
obligations to the Association.
·
A credit may only be applied to to a
maximum of two consecutive billing cycle. If a
leak occurs over more than two different billing cycles, the credit will be applied
to the two billing cycle with the most usage.
·
Once
a member receives a credit, the member may not be granted another credit
for ten years.
·
If granted, the amount of any credit
will be computed as follows and in accordance with the attached worksheet.
By signing this request,
I certify that I understand the terms and conditions of the
Association’s Leak adjustment Policy and acknowledge that I will not be
eligible for an additional Leak Adjustment for ten years.
___________________________________
_____________________
Customer Signature
Date
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