City of Meridian - Utility Billing Adjustment Request
 
 
Name:
 
 
Account No.:
 
 
Address:
 
 
Phone Number:
 
 
Date Leak Was Found:
 
Date Leak Was Fixed:
 
 
Property Type
Residential:    Commercial:   
 
Own/Rent?
Owner:    Renter:   
 
Did the Water Department check your meter for a leak?
No    Yes
 
If there is a leak, is the location Known?
No    Yes
 
Is the Leak repaired?
No    Yes
 
If you know where the leak was located, please describe below. Adjustments will not be considered until the leak has been repaired.
 
If the leak was repaired, please attach the receipt from the repair (Optional):