Leak Rate Adjustment

Manchester, Washington

Email Address *

Phone Number *

Customer Name *

Certification *

I certify that the above is true and correct. I understand that the District may only allow one leak rate adjustment every three years.

Additional Receips and/or Documentation, if Necessary

Manchester Water District Leak Rate Adjustment Form

Adjustments are calculated in accordance with Manchester Water District Resolution 2003-12

Brief Descripton of Leak *

Service Address *

Manchester Water District Account Number