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Oregon City, OR

web@orcity.org

625 Center Street, Oregon City, OR, 97045, US

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Water Leak - Adjustment Request Form

Instructions:

Fill out this form, submit a receipt for the repairs as a document upload along with a short description of what was found and when it was fixed.

Date Applying for Adjustment

Date Picker

Name on Utility Account

Service Address

Mailing Address

Date Discovered or Notified

Date Picker

Date Leak was Fixed

Date Picker

Upload Documentation / 250MB Limit Upload

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