Lyman, WA · Skagit County
Leak Adjustment Application
Lyman water customers use this application to request an adjustment to their water bill after repairing a leak.
What this form is
The Water Department Leak Adjustment Application lets a customer request an adjustment to a water bill after a leak has been repaired. It asks for the customer’s name, account number, service and mailing addresses, leak detection date and details, repair information, and signature. By signing, the customer states the leak was not due to a leaky faucet or other plumbing fixture and acknowledges the one-adjustment-per-12-month limit.
Who needs it
A Lyman water customer seeking a bill adjustment for a repaired leak can complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application does not require a notary; the customer signs and dates it after stating the leak was repaired and was not caused by a fixture.
How to submit this form
- 1
Download The Application
Download the Leak Adjustment Application.
- 2
Complete The Application
Provide the requested customer, account, address, leak detection, and repair information.
- 3
Sign And Date
Sign and date the statement about the repaired leak and adjustment limit.
- 4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Leak Adjustment Application?
- No. This application does not require a notary; the customer signs and dates it after stating the leak was repaired and was not caused by a fixture.
- How do I submit the Leak Adjustment Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for customer and account details, service and mailing addresses, when and how the leak was detected, its location, repair information, and the customer’s signature and date.
- How often can I receive a leak adjustment?
- The application states that a customer can receive only one adjustment in any 12-month period.