White Settlement, TX · Tarrant County
Water Leak Adjustment Application
This application lets eligible White Settlement residential water customers request a bill adjustment after a leak past the meter and provide details about the leak and its repair.
What this form is
Eligible residential customers use this application to request an adjustment to water charges after a significant increase in consumption caused by a leak past the water meter. The form asks for account and contact details, leak and repair dates, and a description of the repairs. Applicants must attach proof of the leak, and the form states that eligibility is limited to residential single-family or separately metered multi-family accounts.
Who needs it
White Settlement residential single-family or separately metered multi-family water customers seeking an adjustment after a leak past the meter need this application.
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 application is signed and dated without a notary; attach proof of the leak, such as receipt copies or pictures of damaged parts or pipes.
How to submit this form
- 1
Download The Application
Download the Water Leak Adjustment Application PDF.
- 2
Complete The Form
Fill in your name, account number, address, phone number, leak and repair dates, and repair description.
- 3
Gather Leak Proof
Attach proof of the leak, such as receipt copies or pictures of damaged parts or pipes.
- 4
Sign And Date
Sign and date the application to attest to the information provided.
- 5
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 is the Water Leak Adjustment Application for?
- It lets eligible residential water customers request an adjustment to water charges when increased consumption resulted from a leak past the water meter.
- Who is eligible to apply?
- The form says only residential single-family accounts or multi-family accounts with a separate meter are eligible for an adjustment.
- Do I need a notary for the Water Leak Adjustment Application?
- No. The application is signed and dated without a notary. Attach proof of the leak, such as receipt copies or pictures of damaged parts or pipes.
- How do I submit the Water Leak Adjustment Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Water Leak Adjustment Application doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.