Do I need a notary for the Leak Adjustment Application?

No. The form has a customer signature field and does not require a notary. Sign and date it, and include the required proof of repairs.

How do I submit the Leak Adjustment Application?

Complete and return the form to City of Tennille, 106 Park Street, Tennille, Georgia 31089. Include repair proof and receipts or a plumber’s statement or invoice.

Who can request a leak adjustment?

The policy says leak adjustments are considered for residential customers. The account must be paid in full and in good standing, and other eligibility conditions apply.

What repair documents should I include?

Include receipts for supplies if you repaired the leak yourself, or documentation from a licensed plumber. If you cannot provide receipts, attach an explanation.

Tennille, GA · Washington County

No notary required

Leak Adjustment Application

Residential utility customers use this form to request a water and sewer bill adjustment for qualifying leaks or water meter errors.

What this form is

The form lets residential customers request an account credit for qualifying leaks and ask for a water meter accuracy check. The policy says a leak must meet its usage criteria, be repaired, and be documented; the completed request and repair proof must be submitted within 30 days of the billing due date for the period in question. The city makes the final adjustment decision.

Who needs it

Residential utility customers seeking a qualifying leak credit or a water meter accuracy check can use this request form.

How to submit it

Complete and return the form to City of Tennille, 106 Park Street, Tennille, Georgia 31089, with proof of repairs and receipts or a plumber’s statement or invoice. The form can be picked up at Tennille City Hall.

About notarization

This document is signed without a notary; the customer just signs and dates the form and attaches the required repair documentation.

How to submit this form

1
Download The Form
Download the Leak Adjustment Application PDF.
2
Complete The Request
Fill in the customer, service address, account, phone, repair details, and signature fields.
3
Gather Repair Proof
Attach receipts for supplies or documentation from a licensed plumber; explain if receipts are unavailable.
4
Submit To The City
Return the completed form and supporting documents to City of Tennille, 106 Park Street, Tennille, Georgia 31089.

Frequently asked questions

Do I need a notary for the Leak Adjustment Application?: No. The form has a customer signature field and does not require a notary. Sign and date it, and include the required proof of repairs.
How do I submit the Leak Adjustment Application?: Complete and return the form to City of Tennille, 106 Park Street, Tennille, Georgia 31089. Include repair proof and receipts or a plumber’s statement or invoice.
Who can request a leak adjustment?: The policy says leak adjustments are considered for residential customers. The account must be paid in full and in good standing, and other eligibility conditions apply.
What repair documents should I include?: Include receipts for supplies if you repaired the leak yourself, or documentation from a licensed plumber. If you cannot provide receipts, attach an explanation.

Need something notarized?

This Leak Adjustment Application doesn’t need a notary — but if you have another Tennille form that does, a commissioned online notary can help.