Water Leak Adjustment Form

GRU Water Leak Adjustment Request Form

This form does not guarantee that a credit will be applied to your utility bill. You will be notified by phone or in writing if the request has been approved, denied, or if additional information is needed. Requests must be made after the leak has been repaired and received within 90 days of the billing date.

The repair invoices from work completed must be attached when submitting the request. If applicable, adjustments will only be applied after the leak has been repaired and the consumption returns to normal. Please note it may take up to 3 months for adjustments to post to your account.
Name on Account
Email Address
Example: yourName@domain.com
GRU Account Number
Service Address
Contact Phone Number
Please enter a valid phone number.
Type of Leak

SlabIrrigationToiletOther
If other, please specify
Date Leak Occurred

MonthDayYear
Date
Date Leak Repaired

MonthDayYear
Date
Brief Description and action taken to repair
Copy of repair invoice available (if repaired professionally)?

YesNoN/A
Copy of repair receipts available (if repaired by owner/tenant)?

YesNoN/A
Attach Repair Invoice, Receipt or Additional Attachments

Cancelof
By submitting this form, you are authorizing GRU to review your account to determine if an adjustment can be granted on the water and/or wastewater portion of your bill. Please attach copies of plumber’s statements, receipts or statement of work completed when submitting this form.
Date Stamp

MonthDayYear
Date
Hour MinutesAM/PM Option
Please verify that you are human*
Should be Empty:

GRU Water Leak Adjustment Request Form