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2. Customers of Water Utility Companies under City jurisdiction (operating within the City Limits) may file complaints with the City if they believe that they have been billed incorrectly. In order to file a complaint, the customer must complete this form and follow the City's Billing Dispute Resolution Process, outlined at the link below..
4. Please review the City's Billing Dispute Resolution Process at the following link.
   Billing Dispute Resolution Process
6. Account Holder's Name
8. First Name*
9. Last Name*
11. Account Holder's e-mail address*
12. Account Holder's Telephone Number*
14. Service Address
16. Address1*
18. Address2
20. City*
21. State*
22. Zip*
24. Alternate Contact Address (If different from Service Address)
26. Address1
28. Address2
30. City
31. State
32. Zip
34. Information on Water Utility
36. Company Complaint Against*
38. Account Number with Company*
40. Details of Complaint*
    Please describe, in detail, the dispute you are having with your water utility company.
42. Documents Related to Complaint
    Please upload all documents relevant to your complaint, including disputed bills, correspondence to and from the Utility Company about the complaint, and any other documentary evidence you may have related to the complaint.
44. Additional Document Upload
    If needed.
45. Additional Document Upload
47. Additional Document Upload
48. Additional Document Upload
50. Additional Document Upload
51. Additional Document Upload
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field