This applications is to be used to request a leak adjustment if you are a Roswell Water Utility customer and have had a leak repaired within the last 45 calendar days. Receipts related to the repair are required.

If you have any questions, please contact the Roswell Financial Services Division via email or (770) 641-3759.

This field is for validation purposes and should be left unchanged.
Name on Account
Service Address(Required)
Date the repair was made (MM/DD/YYYY)
Please upload receipts related to the repair.
Accepted file types: gif, jpg, jpeg, png, doc, docx, xls, xlsx, rtf, pdf, txt, Max. file size: 50 MB.
Accepted file types: gif, jpg, jpeg, png, doc, docx, xls, xlsx, rtf, pdf, txt, Max. file size: 50 MB.
Accepted file types: gif, jpg, jpeg, png, doc, docx, xls, xlsx, rtf, pdf, txt, Max. file size: 50 MB.
Additional receipts can be emailed.
Was the leak repaired within the last 45 calendar days?
Do you have receipts to include with this application?
To receive a copy of your submission, please fill out your email address below and submit.