Bevil Oaks, TX · Jefferson County
Leak Adjustment Agreement
This agreement lets a Bevil Oaks water and sewer customer accept or decline a leak adjustment offered for their account.
What this form is
The form records whether a customer accepts or declines the leak adjustment offered for an account, along with the account number, date, amount, and reason for the leak. If the customer accepts, the agreement states that only one adjustment is allowed on the account annually and gives the date before another adjustment may be available; it also says there will be no exceptions.
Who needs it
A Bevil Oaks customer offered a leak adjustment can use this agreement to record whether they accept or decline it.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the customer and office staff sign and date it.
How to submit this form
- 1
Download The Agreement
Download the Bevil Oaks Leak Adjustment Agreement PDF.
- 2
Complete The Form
Enter the account number, date, adjustment amount, and reason for the leak, then indicate whether you accept or decline.
- 3
Sign And Date
Sign and date the agreement. The form also includes a signature and date line for office staff.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Leak Adjustment Agreement record?
- It records whether a customer accepts or declines an offered leak adjustment, the account number, date, amount, and reason for the leak.
- What happens if I accept a leak adjustment?
- The agreement states that only one adjustment is allowed on the account annually. It also provides a date before another adjustment may be available and says there will be no exceptions.
- Do I need a notary for the Leak Adjustment Agreement?
- No. This document is signed without a notary; the customer and office staff sign and date it.
- How do I submit the Leak Adjustment Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.