Liberty Hill, TX · Williamson County
Utility Leak Adjustment Form
Liberty Hill water customers use this form to request an adjustment for a bill affected by a repaired water leak.
What this form is
The form lets a Liberty Hill water customer request a bill adjustment for a leak and asks for customer and account details, leak and repair dates, and repair information. To be eligible, the customer must provide a repair receipt or paid-in-full invoice and the other listed details within sixty days of repairing the leak. The form also describes adjustment limits and circumstances that may affect eligibility.
Who needs it
A Liberty Hill water customer seeking an adjustment for a bill affected by a repaired leak should complete and submit this form.
How to submit it
Return the form by email to [email protected], by mail to P.O. Box 1920, Liberty Hill, TX 78642, by the City Hall parking lot drop box, or in person at City Hall, 926 Loop 332, during the stated business hours.
About notarization
This document is signed and dated without a notary; the signer provides the listed repair receipt or paid-in-full invoice as supporting documentation.
How to submit this form
- 1
Download The Form
Download the Utility Leak Adjustment Form.
- 2
Complete The Form
Enter the requested customer, account, leak, and repair information, then sign and date the form.
- 3
Gather Supporting Documents
Include a copy of the repair receipt or paid-in-full invoice and provide the other details listed for eligibility.
- 4
Submit The Form
Return it by email, mail, City Hall parking lot drop box, or in person at City Hall using the contact details on the form.
Frequently asked questions
- Do I need a notary for the Utility Leak Adjustment Form?
- No. The form calls for a customer signature and date, not a notary. Include the listed repair receipt or paid-in-full invoice.
- How do I submit the Utility Leak Adjustment Form?
- Email it to [email protected], mail it to the listed P.O. Box, use the City Hall parking lot drop box, or deliver it in person to City Hall.
- What supporting documents and details are required?
- The form lists a repair receipt or paid-in-full invoice, water account number, repair property address, high-bill date range, and repair date and description.
- When must I provide the information for eligibility?
- The form says the customer must provide the listed information within sixty days of repairing the leak.
Need something notarized?
This Utility Leak Adjustment Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.