Cloverdale, CA · Sonoma County
Water and Commercial Sewer Leak Adjustment Policy
Cloverdale customers use the included Leak Adjustment Request to ask the Utility Department for a water or eligible commercial sewer bill adjustment after a leak.
What this form is
This document explains Cloverdale’s leak adjustment policy and includes a request form for customers seeking an adjustment after repairing a leak. The form asks for account and contact details, leak discovery and repair dates, a description of the leak and repair, and receipts for repair materials or services. Commercial sewer adjustments require documentation showing that excess water did not enter the sanitary sewer system.
Who needs it
A Cloverdale utility account holder seeking an eligible water or commercial sewer bill adjustment after repairing a leak should complete and submit this request.
How to submit it
After the leak is repaired, complete the form and attach copies of repair receipts and supporting documentation. Mail or deliver it to City Hall at 124 N. Cloverdale Blvd., Cloverdale, CA 95425.
About notarization
This document is signed and dated without a notary; the account holder signs the request, and the form does not require a notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Cloverdale Leak Adjustment Request and review the accompanying policy.
- 2
Complete The Request
Enter the account and contact information, leak discovery and repair dates, and a description of the leak and repair.
- 3
Gather Supporting Documents
Attach copies of receipts for repair materials or services and any supporting evidence for the request.
- 4
Sign And Date
The account holder signs and dates the completed request.
- 5
Submit To The City
Mail or deliver the request and attachments to City Hall at 124 N. Cloverdale Blvd., Cloverdale, CA 95425.
Frequently asked questions
- Do I need a notary for the Cloverdale leak adjustment request?
- No. The account holder signs and dates the request; the form does not require a notarized or sworn attachment.
- How do I submit the Cloverdale leak adjustment request?
- After the leak is repaired, mail or deliver the completed form and supporting documents to City Hall at 124 N. Cloverdale Blvd., Cloverdale, CA 95425.
- What should I attach to the leak adjustment request?
- Attach copies of receipts for materials or services related to the repair. The policy also says the City may request supporting evidence such as photographs or a plumber or contractor statement.
- Does submitting a request guarantee a bill adjustment?
- No. The form says completing it does not guarantee an adjustment. The Finance Director has authority to approve or deny a request.
Need something notarized?
This Water and Commercial Sewer Leak Adjustment Policy doesn’t need a notary — but if you have another Cloverdale form that does, a commissioned online notary can help.