Nahunta, GA · Brantley County

No notary required

Leak Credit Request Form

Water and sewer customers use this form to explain a repaired leak and request a utility bill credit from the City of Nahunta.

What this form is

The form lets an account holder request a leak credit and describe what leaked, where it leaked, and the completed repairs. The city’s policy requires proof of repair, such as a receipt for supplies or a licensed plumber’s receipt, and says credits are discretionary and subject to policy conditions. The form asks for customer and account details, leak discovery and repair dates, a description, and a signature.

Who needs it

A City of Nahunta water or sewer account holder seeking a credit for a repaired leak can use this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; attach the required repair receipt, with no notarized or sworn attachment mentioned.

How to submit this form

  1. 1

    Download the Form

    Download the Leak Credit Request Form.

  2. 2

    Complete the Request

    Print the form and fill in your customer and account details, leak dates, and description of the leak and completed repairs.

  3. 3

    Attach Repair Proof

    Attach the required receipt for repair supplies or a receipt from a licensed plumber.

  4. 4

    Submit to the City

    Submit the form and receipt to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Leak Credit Request Form do?
It lets a City of Nahunta account holder describe a leak and completed repairs and request a utility bill credit under the city’s leak credit policy.
What must I attach to the request?
Attach proof of repair. The policy says this may be a receipt for supplies if you made the repair or a receipt from a licensed plumber.
Do I need a notary for the Leak Credit Request Form?
No. The form is signed and dated without a notary. Attach the required repair receipt; the document does not mention any notarized or sworn attachment.
How do I submit the Leak Credit Request Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Leak Credit Request Form doesn’t need a notary — but if you have another Nahunta form that does, a commissioned online notary can help.