Camas, WA · Clark County

No notary required

Application for Billing Adjustment Due to Water Leak

Property owners use this application to request a water or sewer billing adjustment after a qualifying leak and provide repair documentation.

What this form is

Camas property owners may apply when a leak in a main water line or crawl space causes water use to exceed twice the most recent average winter use. The application asks for the owner’s contact and utility account details, property address, and a description of the leak and repairs. Attach proof of repair; approval is subject to the restrictions listed on the form.

Who needs it

A Camas property owner seeking an eligible water or sewer billing adjustment after a leak should complete this application and provide proof of repair.

How to submit it

Submit the application to the Finance Department at 616 Northeast Fourth Avenue, Camas, WA 98607. The form lists (360) 834-2462 as the department phone number.

About notarization

This application is signed and dated without a notary; the signer must attach repair documentation, such as a plumber’s invoice or receipt for purchased parts.

How to submit this form

  1. 1

    Download the Application

    Download the water leak billing adjustment application PDF.

  2. 2

    Complete the Application

    Provide the property owner, utility account, property address, contact information, and a description of the leak location and repairs.

  3. 3

    Gather Repair Documentation

    Attach proof of repair, such as a plumber’s invoice or a receipt for purchased parts.

  4. 4

    Sign and Date

    Read the restrictions, sign the application, and enter the date.

  5. 5

    Submit to the Finance Department

    Send the completed application and repair documentation to the Finance Department at 616 Northeast Fourth Avenue, Camas, WA 98607.

Frequently asked questions

Do I need a notary for the water leak billing adjustment application?
No. The application has a signature and date line but no notary block. Attach documentation of repairs, such as a plumber’s invoice or a receipt for purchased parts.
Who can apply for a water leak billing adjustment in Camas?
A property owner may apply when a leak in a main water line or crawl space has used more than double the most recent average winter water use. The form lists additional eligibility restrictions.
What repair documentation should I include?
Attach documentation of repairs. The form gives an invoice from a plumber or a receipt for purchased parts as examples.
How do I submit the water leak billing adjustment application?
Submit it to the Finance Department at 616 Northeast Fourth Avenue, Camas, WA 98607. The form lists the department phone number as (360) 834-2462.

Need something notarized?

This Application for Billing Adjustment Due to Water Leak doesn’t need a notary — but if you have another Camas form that does, a commissioned online notary can help.