Mercersburg, PA · Franklin County

No notary required

Water and Sewer Billing Dispute Form

Account owners use this form to ask the Borough of Mercersburg to review water or sewer billing when meter readings or billed usage seem inaccurate.

What this form is

This form asks the Borough to review a water or sewer account when the account owner believes a meter reading or billed usage is inaccurate or higher than expected. It requests the account number, owner and service address, contact details, a brief description of the concern, and a list of supporting attachments, such as past bills or photos. The Borough uses the form for its account review and investigation process.

Who needs it

An account owner who believes a water or sewer meter reading or billed usage is inaccurate or higher than expected can submit this form.

How to submit it

Submit the completed form to the Borough at Borough Hall, 113 South Main Street, Mercersburg, PA 17236, or email [email protected].

About notarization

This form is signed and dated by the account owner without a notary; the listed supporting documents are not identified as requiring notarization.

How to submit this form

  1. 1

    Download The Form

    Download the Water and Sewer Billing Dispute Form PDF.

  2. 2

    Complete The Form

    Enter the account number, account owner and service address, contact details, and a brief description of the concern.

  3. 3

    Gather Supporting Documents

    List and provide any verifying documentation, such as past bills or photos.

  4. 4

    Submit To The Borough

    Send the completed form to Borough Hall at 113 South Main Street, Mercersburg, PA 17236, or email [email protected].

Frequently asked questions

Do I need a notary for the Water and Sewer Billing Dispute Form?
No. The account owner signs and dates the form without a notary. Supporting documents, such as past bills or photos, are not identified as requiring notarization.
How do I submit the Water and Sewer Billing Dispute Form?
Submit the completed form to the Borough at Borough Hall, 113 South Main Street, Mercersburg, PA 17236, or email [email protected].
Who can use this billing dispute form?
An account owner who believes a water or sewer meter reading or billed usage is inaccurate or higher than expected can submit it for Borough review.
What information and attachments does the form request?
It requests the account number, owner and service address, phone and email, a brief description of the concern, and a list of supporting documents, such as past bills or photos.

Need something notarized?

This Water and Sewer Billing Dispute Form doesn’t need a notary — but if you have another Mercersburg form that does, a commissioned online notary can help.