CASE REVIEW FORM
CASE REVIEW FORM
To have your account reviewed submit this form to the address below. The department will conduct an investigation and issue a determination within five (5) business days.
* Required
Name on Account:
*
Email Address:
Address
*
Home Number
*
Cell Number
Please let us know a good time to contact you.
Before 5pm, Anytime, etc.
Billing Date(s) of Disputed Bill:
*
Please list the nature of dispute
*
Who did you speak to regarding this issue?
Nathan Ingram
Melissa Forrestor
Wanda Floyd
Kim Barstrow
Nancy Clackum
Rene Teijeiro
City Manager's Office
Mayor's Office
All current charges and any past due amounts that are not under review must be paid in order to avoid interruption of water service.