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Adjustment Request Form

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  2. Utilities logo

    320 Alexandria Blvd. Oviedo, Fl. 32765 Phone: (407) 971-5535 Fax: (407) 971-5806  Office Hours: Monday-Friday 8:00am-5:00pm

  14. MUST INCLUDE RECEIPT (without a receipt for repairs, your adjustment may not be approved).
  18. PLEASE NOTE: PER CITY ORDINANCE 54-2
    • Utility Customer over the previous 12 months before the accident must have an average usage of no greater than 1.5x their allotted water capacity.
    • Utility Customer must have been unaware, unknowing and/or did not have direct action to cause the accidents that lead to larger water consumption. 
    • The flow resulting from the mishap must be greater than 2x the previous 12 months average consumption. 
    • Utility Customer MUST provide evidence that the condition and/or cause of the accident have been corrected. 
    • Utility Customer shall have a minimum 6 months usage at the address of the mishap to be eligible for relief. 
    • Utility Customer shall be limited to one (1) request every 24 months. 
    • If the Utility Customer’s account is less than 12 months, 3 of the highest months will be used to calculate an average.
  22. 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.

  30. The City of Oviedo does not accept liability for transmission of this form with confidential information. Email over the internet is NOT a secure medium and privacy cannot be assured.

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