Castle Rock, WA · Cowlitz County
Leak Adjustment Request Form
Castle Rock water customers use this form to request a sewer billing adjustment after a water-service leak has been repaired.
What this form is
Use this form to request an adjustment for a water-service leak that has been repaired. The form says the Public Works Department must verify that the leak no longer exists, and describes limits and exclusions for adjustments. It asks for customer and service details, leak notification and repair dates, supporting proof, and a description of the leak and repair.
Who needs it
Castle Rock water customers seeking a sewer billing adjustment for a repaired leak can submit this form with proof of the leak and repair.
How to submit it
Return the form and supporting documents to Castle Rock City Hall, Finance Office, 141 ‘A’ St SW, or mail them to PO Box 370, Castle Rock, WA 98611.
About notarization
This document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Leak Adjustment Request Form.
- 2
Complete The Form
Enter customer and service details, leak notification and repair dates, and describe the leak location and repair.
- 3
Gather Supporting Documents
Include repair receipts, pictures of the leak and repair, or other proof.
- 4
Submit To The City
Return the form and supporting documents to the Finance Office at City Hall or mail them to the listed PO Box.
Frequently asked questions
- Do I need a notary for the Leak Adjustment Request Form?
- No. The form has a signature and date line but no notary block; the signer just signs and dates it.
- How do I submit the Leak Adjustment Request Form?
- Return the form and supporting documents to Castle Rock City Hall, Finance Office, 141 ‘A’ St SW, or mail them to PO Box 370, Castle Rock, WA 98611.
- What supporting documents does the form request?
- It lists repair receipts, pictures of the break or leak and the repair, or other proof. The form also asks for a description of the leak location and repair steps.
- What must happen before an adjustment is made?
- The form says no adjustment will be made until the Public Works Department verifies that the leak no longer exists.