Algonac, MI · St. Clair County
Water Leak Adjustment Application
Algonac water and sewer customers use this application to request a sewer bill adjustment after a qualifying leak in their water service line.
What this form is
This application lets eligible City of Algonac water and sewer customers request an adjustment to the sewer portion of a bill affected by a water service line leak. The document describes eligibility conditions, including usage at least 100% above average and a leak that did not enter the sanitary sewer system, and says to request an adjustment within 30 days of the relevant bill or city notification. It asks for customer information, a signature, and repair receipts or supporting documentation.
Who needs it
A water or sewer customer seeking a qualifying leak adjustment should complete this application and provide proof of the repair.
How to submit it
Return the completed application to City Hall with receipts or supporting documentation. The document does not provide a street address or specific submission method.
About notarization
This document is signed without a notary; the attached No Receipt Repair/Documentation Form also asks the applicant to sign and date it.
How to submit this form
- 1
Download The Application
Download the Water Leak Adjustment Application and review its eligibility conditions and policy.
- 2
Complete The Application
Provide the requested customer information and sign the application.
- 3
Gather Repair Documentation
Include receipts for repair materials or services, or complete the No Receipt Repair/Documentation Form if you have no receipt.
- 4
Return It To City Hall
Return the completed application and supporting documentation to City Hall.
Frequently asked questions
- Do I need a notary for the Water Leak Adjustment Application?
- No. The application is signed without a notary. If you lack repair receipts, the included No Receipt Repair/Documentation Form asks you to sign and date it.
- Who can request a water leak adjustment?
- A City of Algonac water or sewer customer may apply if the leak meets the policy conditions, including usage at least 100% above average and no leak water entering the sanitary sewer system.
- How do I submit the Water Leak Adjustment Application?
- Complete the application and return it to City Hall with repair receipts or supporting documentation. The document does not give a street address or specify another submission method.
- What repair documentation should I include?
- Provide receipts for repair materials or services. If you have no receipt, complete the included No Receipt Repair/Documentation Form with details about the break and repair.