Leak Adjustment

As a Customer for the above listed service address, I hereby apply for a billing adjustment under the Hilton Head PSD Water Leak Adjustment Program. I confirm that the above and any attached information is true and accurate. I acknowledge and understand that only two water leak adjustment may be applied to my utility account in any 48-month period. I also acknowledge and understand that the PSD is not responsible for monitoring customer usage, notifying customers of leaks, locating leaks, or repairing leaks on the customer side of the meter and that the leak adjustment requested will reduce my excess usage for the allowable period to the lowest billing tier but will not eliminate usage charges for excess water consumed.