Red Oak, TX · Ellis County

No notary required

Request for Adjustment

Red Oak water customers use this form to request an adjustment for a water leak or penalties and provide their account and request details.

What this form is

This form lets a Red Oak water customer request an adjustment for a water leak or penalties; submitting it is only a request and does not guarantee approval. It asks for the customer’s contact and account details, adjustment type and amount, and reason. Leak requests must meet the listed eligibility requirements and include evidence that the leak was repaired; each request must also include a transaction history.

Who needs it

Red Oak water customers seeking a leak or penalty adjustment can complete this form and provide the information and supporting documents it requests.

How to submit it

Attach a transaction history to each request and, for a leak adjustment, documentary evidence that the leak was repaired. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the signer just signs and dates it, and leak requests require evidence that the leak was repaired.

How to submit this form

  1. 1

    Download The Form

    Download the Request for Adjustment PDF.

  2. 2

    Complete The Request

    Enter your name, address, account number, phone number, adjustment type and amount, and reason for the request.

  3. 3

    Gather Attachments

    Attach a transaction history. For a leak adjustment, include documentary evidence that the leak was repaired.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the city department named on the form.

Frequently asked questions

Do I need a notary for the Request for Adjustment?
No. The form calls for a signature and date, not notarization. Leak requests must include documentary evidence that the leak was repaired.
How do I submit the Request for Adjustment?
Attach a transaction history to each request and, for a leak adjustment, proof that the leak was repaired. Submit it to the city department named on the form; check the city website for current contact details.
What adjustments can I request?
The form provides options for a water leak adjustment or an adjustment of penalties. It states that submitting a request does not guarantee approval.
What evidence is required for a leak adjustment?
The form requires documentary evidence that the leak was repaired, such as a plumber’s invoice or a receipt for materials purchased to repair the leak.

Need something notarized?

This Request for Adjustment doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.