Buellton, CA · Santa Barbara County
Utility Bill Appeal Form
Buellton utility customers use this form to appeal disputed water or sewer billing charges and explain why they believe the charges are incorrect.
What this form is
Use this form to ask the City to review disputed water or sewer bill charges after contacting Customer Service and the City’s investigation has not resolved the issue. Submit the completed form within 30 days of the disputed bill’s issue date. It asks for account holder and service information, the bill date and appeal amount, the basis for the appeal, and a signature and date.
Who needs it
A Buellton utility customer who wants to appeal water or sewer billing charges should complete this form after contacting Customer Service.
How to submit it
Submit the completed form within 30 days of the disputed bill’s issue date to the Finance Director, City of Buellton, PO Box 1819, Buellton, CA 93427-1819; fax it to 805-686-0086 or email it to [email protected].
About notarization
This document is signed and dated without a notary; the form requests no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Utility Bill Appeal Form from this page.
- 2
Complete the Form
Provide the requested account and bill details, explain why you believe the charges are incorrect, and sign and date the form.
- 3
Gather Supporting Documents
Attach additional sheets or documentation if necessary. Commercial or industrial sewer quantity reviews require the documentation listed in the form.
- 4
Submit to the City
Submit the completed form to the Finance Director by mail, fax, or email within 30 days of the disputed bill’s issue date.
Frequently asked questions
- Do I need a notary for the Utility Bill Appeal Form?
- No. The form is signed and dated without a notary, and it does not request a notarized or sworn attachment.
- How do I submit the Utility Bill Appeal Form?
- Submit it to the Finance Director by mail, fax, or email using the contact details on the form. The City says to submit it within 30 days of the disputed bill’s issue date.
- What information does the appeal form ask for?
- It asks for the account holder’s name, account number, contact information, service address, bill date, appeal amount, and grounds for the appeal, plus a signature and date.
- What happens after I submit the form?
- The form says appeals are reviewed by the Finance Director. After review, the Finance Department will notify you of the results; completing the form does not guarantee an adjustment.