Form Submission Complete

2. Utility Billing Dispute

   Please include the following information in your dispute to Utility Billing. 

   Be advised disputes must be submitted within 21 days of the incident for the dispute to be reviewed.

   Do not enter your credit/debit card, bank account, SSN, or other confidential data in this form.
   
   

4. Customer Name*
5. Account Number*

   Your account number can be found on your water bill.

6. Service Address*
8. Contact Preference*

   1. Email
   2. Phone
9. Phone Number*
10. Email*
12. Type of Dispute*
    -- Select One --Consumption/LeaksFees on Billing StatementProperty Lien/Tax RollReturned PaymentOther

    Please select the type of dispute you are submitting.

14. Please provide a detailed description of your dispute.*
16. Attachments

    If applicable, please upload documents/photos related to your dispute. Recommended file formats are .pdf or .jpeg.

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field