Springfield, GA · Effingham County
Review of High Bill Request Form
Customers use this form to request a review of a high water bill and select meter or usage diagnostics from Springfield.
What this form is
The form lets a customer ask the City to review a high bill and request a bucket test, a usage report review, or both. It asks for account and contact details, the high-bill date, the billing issue, and the requested diagnostic. The form states conditional charges if no meter malfunction is found and asks customers to attach any supporting documents.
Who needs it
Customers seeking review of a high bill can use this form to explain the billing issue and request diagnostics.
How to submit it
Forward the completed form to the Customer Service Clerk at City Hall or email [email protected]; allow at least five business days for processing and review.
About notarization
This document is signed without a notary; the signer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Review of High Bill Request Form.
- 2
Complete The Request
Enter the requested account, contact, and high-bill details; explain the billing issue and initial the diagnostic option or options.
- 3
Gather Supporting Documents
Attach any supporting documents you feel would be beneficial to the review.
- 4
Submit To The City
Forward the completed form to the Customer Service Clerk at City Hall or email [email protected].
Frequently asked questions
- Do I need a notary for the Review of High Bill Request Form?
- No. The form has a signature line but no notary block; the signer just signs and dates the request.
- How do I submit the high bill review request?
- Forward the completed form to the Customer Service Clerk at City Hall or email it to [email protected]. The form asks you to allow at least five business days for processing and review.
- What diagnostics can I request?
- You can initial a bucket test, a usage report review, or both. The form describes charges that apply if no meter malfunction is found.
- What should I include with my request?
- Provide the requested account and contact details, explain the billing issue thoroughly, and attach any supporting documents you feel would help the review.
Need something notarized?
This Review of High Bill Request Form doesn’t need a notary — but if you have another Springfield form that does, a commissioned online notary can help.