Rohnert Park, CA · Sonoma County
High Water Use Report
Rohnert Park utility customers use this form to report unintended high water use and request an account adjustment after repairing a leak.
What this form is
Use this form to report unintended high water use and request an account adjustment after a leak has been repaired. The city says the use must be at least 50% above the same period in prior years, and the completed form and repair bills or receipts must be submitted within two months of the leak’s origin. The form asks for account and contact details, household or business information, dates, the cause of high use, and a signature.
Who needs it
A Rohnert Park utility account holder seeking an adjustment for unintended high water use after repairing a leak should complete this form.
How to submit it
Return the completed form and copies of repair bills or receipts by fax to (707) 794-9248, email to [email protected], or mail to City of Rohnert Park - Utility Department, P.O. Box 1489, Rohnert Park, CA 94928-1489.
About notarization
This document is signed and dated without a notary; it requests repair bills or receipts as attachments, and the signer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the High Water Use Report PDF.
- 2
Complete The Form
Fill in account and contact information, describe the high water use, provide dates, and sign and date the form.
- 3
Gather Repair Records
Attach copies of repair bills or receipts as proof of repair.
- 4
Submit To The City
Return the completed form and attachments by fax, email, or mail using the details on the form.
Frequently asked questions
- Do I need a notary for the High Water Use Report?
- No. The form has a signature and date field but no notary block. Attach copies of repair bills or receipts; the signer just signs and dates the form.
- Who can use the High Water Use Report?
- A Rohnert Park utility account holder can use it to report unintended high water use and seek an account adjustment after repairing a leak.
- What should I attach to the High Water Use Report?
- Attach copies of the repair bill or receipts. The form says to submit these with the completed form.
- How do I submit the High Water Use Report?
- Send the completed form and repair documentation by fax to (707) 794-9248, email to [email protected], or mail to the Utility Department address shown on the form.
Need something notarized?
This High Water Use Report doesn’t need a notary — but if you have another Rohnert Park form that does, a commissioned online notary can help.