Landis, NC · Rowan County
Pool Filling Adjustment Form
Landis water customers use this form to report pool-filling dates and times when requesting a wastewater charge adjustment.
What this form is
The form records the customer’s name, address, account number, phone number, pool-filling date and times, and signature. Landis says wastewater charges are adjusted when the completed form is sent in before the 25th of the month, with the adjustment effective on that month’s bill; billing runs from the 15th to the 15th.
Who needs it
Landis customers who fill a pool through an existing residential meter and want a wastewater charge adjustment should complete this form.
How to submit it
Email the completed form to [email protected] or bring it to the Utility Services Office at Town Hall, 312 S Main St. Send it before the 25th for an adjustment effective on that month’s bill.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Pool Filling Adjustment Form.
- 2
Complete The Form
Enter your contact and account information, pool-filling date and times, and signature and date.
- 3
Gather Attachments
The form does not specify any attachments.
- 4
Submit To The Town
Email the completed form to [email protected] or bring it to the Utility Services Office at Town Hall, 312 S Main St.
Frequently asked questions
- Do I need a notary for the Pool Filling Adjustment Form?
- No. The form has a signature and date field but no notary block; the signer just signs and dates it.
- How do I submit the Pool Filling Adjustment Form?
- Email it to [email protected] or bring it to the Utility Services Office at Town Hall, 312 S Main St.
- When should I send the form for a wastewater adjustment?
- The policy says to complete and send the form before the 25th of the month for an adjustment effective on that month’s bill.
- What information does the form ask for?
- It asks for your name, address, account number, phone number, the date the pool was filled, start and end times, signature, and date.