Tukwila, WA · King County
Utility Leak Adjustment Form
Tukwila utility customers use this form to request a bill adjustment after a water leak has been repaired.
What this form is
The form lets a customer notify the Tukwila Finance Department of a repaired water leak and request a utility bill adjustment. It asks for customer and account details, the leak location and dates, who repaired it, and the customer’s signature. Include a copy of the repair bill and/or material receipts; the form says missing receipts may result in denial and that approval is not guaranteed.
Who needs it
A Tukwila utility customer with a repaired water leak who wants to request an adjustment to their utility bill needs this form.
How to submit it
Mail, fax, or deliver the completed form to the Tukwila Finance Department, 6200 Southcenter Boulevard, Tukwila, WA 98188; fax it to 206-433-1833.
About notarization
This form is signed and dated without a notary; include a copy of the repair bill and/or material receipts, with no sworn attachment identified.
How to submit this form
- 1
Download the Form
Download the Utility Leak Adjustment Form for a repaired water leak.
- 2
Complete the Form
Enter the customer, account, leak location, leak dates, and repair information requested.
- 3
Gather Repair Documentation
Include a copy of the repair bill and/or material receipts.
- 4
Sign and Submit
Sign and date the form, then mail, fax, or deliver it to the Tukwila Finance Department.
Frequently asked questions
- Do I need a notary for the Utility Leak Adjustment Form?
- No. The form asks the customer to sign and date it without a notary. Include a copy of the repair bill and/or material receipts; no sworn attachment is identified.
- How do I submit the Utility Leak Adjustment Form?
- Mail, fax, or deliver the completed form to the Tukwila Finance Department at 6200 Southcenter Boulevard, Tukwila, WA 98188. The listed fax number is 206-433-1833.
- What should I include with my request?
- Include a copy of the repair bill and/or material receipts. The form says failure to provide receipts may result in denial of the leak adjustment request.
- How often can an account receive a leak adjustment?
- The form states that only one leak adjustment is allowed per account during a 36-month period. An adjustment is not guaranteed, and an approved adjustment covers up to two billing cycles.
Need something notarized?
This Utility Leak Adjustment Form doesn’t need a notary — but if you have another Tukwila form that does, a commissioned online notary can help.