Toledo, WA · Lewis County
Water Leak Forgiveness Request
Toledo water customers or property owners use this application to request a bill adjustment when excess consumption resulted from a repaired leak.
What this form is
Use this application to request an adjustment when a water bill is more than twice the average for a similar period and excess consumption resulted from a broken pipe or leak. The form asks for applicant and property details, account information, a description of the leak and repairs, and a signature. Include receipts, invoices, or other documentation showing the leak existed and was repaired; Public Works verification is required.
Who needs it
A Toledo water customer or property owner may apply when a qualifying leak caused consumption to exceed twice the applicable average.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. Include required leak-repair documentation and submit within sixty days of the affected billing date or within one billing cycle.
About notarization
This request is signed and dated without a notary; the form calls for leak-repair documentation, not a notarized or sworn attachment.
How to submit this form
- 1
Download The Request
Download the Water Leak Forgiveness Request from the Toledo city forms directory.
- 2
Complete The Application
Fill in applicant, property, and account details, describe the leak and repairs, and sign and date the form.
- 3
Gather Supporting Documents
Include receipts and documentation showing the leak existed and was repaired; add before-and-after photographs if available.
- 4
Submit To The City
Submit the request and supporting documents to the city department named on the form within the stated submission period.
Frequently asked questions
- Do I need a notary for the Water Leak Forgiveness Request?
- No. Sign and date the request; the form requires leak-repair documentation, but does not call for a notarized or sworn attachment.
- How do I submit the Water Leak Forgiveness Request?
- Submit the completed request and supporting leak-repair documentation to the city department named on the form. Check the city website for current contact details.
- What documentation should I include?
- Provide documentation confirming the leak existed and was repaired. The form lists a plumber’s statement, a homeowner’s description, receipts, invoices, and photographs as examples; receipts must be provided.
- When must I submit the request?
- Submit the request and all required supporting documentation within sixty days of the affected billing date or within one billing cycle.
Need something notarized?
This Water Leak Forgiveness Request doesn’t need a notary — but if you have another Toledo form that does, a commissioned online notary can help.