Marysville, WA · Snohomish County
Leak Adjustment Request Form
Marysville utility customers use this form to request a leak adjustment after repairing a leak and providing documentation of the repair.
What this form is
This form lets a customer ask the City of Marysville for a utility billing adjustment after a leak has been repaired. The city says it will consider the request only after receiving documentation of the repair, then verify that the leak is fixed before making an adjustment and notifying the customer. The form asks for account and contact details, leak dates, location, repair description, and documentation type.
Who needs it
A Marysville utility customer seeking a leak adjustment should submit this form after repairing the leak and gathering repair documentation.
How to submit it
Submit the completed form and repair documentation to City of Marysville Utility Billing, 501 Delta Ave, Marysville, WA 98270. The form lists Utility Billing’s phone, fax, and email.
About notarization
This form is signed and dated without a notary; the signer acknowledges reading the Leak Adjustment Policy and provides documentation of the repair.
How to submit this form
- 1
Download The Form
Download the Leak Adjustment Request Form.
- 2
Complete The Form
Provide your account and contact details, service address, leak dates, leak location, and description of the leak and repair.
- 3
Gather Repair Documentation
Include documentation of the repair, such as an invoice or receipt.
- 4
Submit To Utility Billing
Send the form and repair documentation to Utility Billing at 501 Delta Ave, Marysville, WA 98270.
Frequently asked questions
- What is the Leak Adjustment Request Form for?
- It lets a Marysville utility customer request an adjustment after repairing a leak. The city requires repair documentation before it will consider the request and says it will verify that the leak is fixed.
- What information and documents does the form ask for?
- The form asks for account and contact information, the service address, leak dates and location, a description of the leak and repair, and the type of repair documentation, such as an invoice or receipt.
- Do I need a notary for the Leak Adjustment Request Form?
- No. The form is signed and dated without a notary. The signer acknowledges reading the Leak Adjustment Policy and provides documentation of the repair.
- How do I submit the Leak Adjustment Request Form?
- Send the completed form and repair documentation to City of Marysville Utility Billing, 501 Delta Ave, Marysville, WA 98270. The form also lists Utility Billing’s phone, fax, and email.