Application for Pool Adjustment
You may apply for a pool fill adjustment once per calendar year. This adjustment will reduce the sewer charge on your utility bill so that you are paying for only water when you fill your pool.
Name on Utility Account
*
First Name
Last Name
Service Address
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Account Number
*
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Date(s) Pool was Filled
*
Approximate # of Gallons or Size of Pool
*
Submit
Should be Empty: