Greencastle, PA · Franklin County

No notary required

Application for Utility Forgiveness

Greencastle utility customers use this application to request forgiveness for water or sewer charges after a leak or excessive usage.

What this form is

This application lets a customer request forgiveness for water or sewer charges related to a leak or excessive usage. The request must include a letter explaining the circumstances, documentation that a plumber assessed the issue, and photographs. The form asks for applicant and account details, the affected billing quarter, the type of forgiveness requested, an explanation, and the applicant’s signature and date.

Who needs it

A customer seeking water or sewer utility forgiveness from the Borough of Greencastle should complete this application and provide the required supporting documents.

How to submit it

Provide the completed application and required information to the Borough of Greencastle Office at 60 N. Washington Street, Greencastle, PA 17225, by email at [email protected], or by fax at 717-597-1022. The Borough must receive the request at least 10 days before the impacted quarterly bill’s due date.

About notarization

This application is signed and dated without a notary; the form does not require a sworn statement or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Utility Forgiveness for a water or sewer charge request.

  2. 2

    Complete And Sign The Form

    Enter your account and contact information, identify the billing quarter and request type, explain the circumstances, then sign and date the application.

  3. 3

    Gather Supporting Documents

    Include the required letter, documentation of a plumber’s assessment, and photographs of the leak or excessive usage.

  4. 4

    Submit To The Borough

    Send the completed materials to the Borough office by mail, email, or fax at least 10 days before the impacted quarterly bill’s due date.

Frequently asked questions

Do I need a notary for the Application for Utility Forgiveness?
No. The application calls for the applicant’s signature and date, not notarization; it does not identify any sworn statement or notarized attachment.
How do I submit the utility forgiveness application?
Send the completed application and required documents to the Borough office by mail, email, or fax using the contact details listed on the form. The request must arrive at least 10 days before the affected quarterly bill’s due date.
What documents must accompany the application?
Include a letter explaining the request, documentation that a plumber assessed the issue, and photographs of the leak or excessive water or sewage usage.
Where should the request letter be addressed?
For water forgiveness, the letter must be submitted to the Greencastle Area, Franklin County Water Authority. For sewer forgiveness, submit it to the Greencastle Borough Council.

Need something notarized?

This Application for Utility Forgiveness doesn’t need a notary — but if you have another Greencastle form that does, a commissioned online notary can help.