The City of Washington, Indiana

Small City... Big Possibilities

Request for Sewer Adjustment for Swimming Pool Fill

 Step 1 of 1

To Request a sewer adjustment for filling a swimming pool, please fill out the form below.

Private swimming pools meeting the requirement of at least 24 inches deep, a surface area of at least 100 square feet, and a permanently equipped re-circulating system shall be eligible for a manual sewer adjustment. An adjustment is allowable for sewer only. One adjustment for one bill per calendar year will be allowed (January 1 – December 31st). Account must not be delinquent (with only the current month usage owed). An approved payment plan agreed upon by customer does not constitute delinquency. The sewer consumption will be adjusted to the prior (6) month historical average. If the customer has not established a six month history, an average will be calculated based on number of months available.

* Denotes a required field

Contact Information

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ZIP*
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Second portion of ZIP Code is optional.
Date Pool Filled*
 Date Pool Filled
Pool Type*
PLEASE NOTE: Completion of this form does not guarantee an adjustment will be made to your water bill. Once the review is complete, you will receive notification of results from the Utility Billing Office. This may take up to 4 weeks of receipt of completed form and documentation. By typing your name in the box below: I certify that the above information is true and correct to the best of my knowledge.
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Please click submit when finished.