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Request for Leak Adjustment

  1. All adjustments are applied to the account. Per City Ordinance- If approved you will receive one half of the difference between your average consumption before the leak and the highest usage during the leak, with exceptions. Each customer is allowed one leak adjustment per account in a 12-month period.

  2. If returning by mail or in person, please attach a copy of plumbing bill or receipt for parts.

    Return by:


    Water Department 
    PO BOX 928 
    Emporia, KS 66801

    Drop Box: 

    Across from office in South parking lot



  3. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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