The City of Franklin adjusts water/sewer bills for leaks to customer-owned water distribution systems as a courtesy.  The customer is responsible for paying for water delivered to the customer at the meter hand-off and for sewer charges resulting from the water delivery.

 

Please answer the following questions for determination of eligibility for a leak adjustment.

1

Who provides your water?

Who provides your water?

City of Franklin

HB&TS

Mallory Valley Utility District (MVUD)

Milcrofton

2

If water provided by MVUD, HB&TS, or Milcrofton, please include water adjustment documentation.

If water provided by MVUD, HB&TS, or Milcrofton, please include water adjustment documentation. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

3

What is your account number?

 *

What is your account number?

4

What is the address where the leak occurred?

What is the address where the leak occurred?

5

What type of leak occurred? Please check one:

What type of leak occurred? Please check one:

Supply line to dwelling

Plumbing inside the dwelling

Irrigation lines

Service lines to outbuildings

Other If other, type text here.

6

Date of repair:

Date of repair:

7

Please check one and attach copy of receipt:

Please check one and attach copy of receipt:

Repair done by licensed plumber

Repair done by self

8

Attach Receipt:

Attach Receipt: Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

9

I certify that all of the above information is correct and the leakage at the above address has been repaired.  I understand that it is the City of Franklin policy that I am entitled to only one leak adjustment on my account in a 12 month period.  No adjustment will be made for leaks that occur within 12 months of the date of repair and that any adjustments made on my behalf will be in accordance to the City of Franklin leak adjustment policy.  I acknowledge that it is my responsibility to maintain the water distribution system on my property.  Failure to properly maintain my water distribution system may result in no adjustments for leaks.  Typing name below will serve as your electronic signature.

I certify that all of the above information is correct and the leakage at the above address has been repaired. I understand that it is the City of Franklin policy that I am entitled to only one leak adjustment on my account in a 12 month period. No adjustment will be made for leaks that occur within 12 months of the date of repair and that any adjustments made on my behalf will be in accordance to the City of Franklin leak adjustment policy. I acknowledge that it is my responsibility to maintain the water distribution system on my property. Failure to properly maintain my water distribution system may result in no adjustments for leaks. Typing name below will serve as your electronic signature.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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