Recycling Fee Adjustment Request

This form is to be used when requesting a recycling adjustment for the City of Decatur's Municipal Utility Bill.

The recycling fee will only be adjusted if the water usage indicates the property
was vacant for the entire billing period. No adjustments will be made for partial billing periods.

(Enter the First Name as it appears on the bill)
(Enter the Last Name as it appears on the bill)
(Enter the Business Name on the bill)
(Enter the best telephone number to contact you during the hours 8 am to 5 pm)
(Enter the Address the adjustment is being requested)
(Enter the City of Decatur Utility Billing account number for the service account above)
(Enter email for account)
Confirm Email
(Enter anticipated length of Vacancy -- example 1 month, 6 months, unknown, etc. Max 100 characters)
I certify the information provided above is true and that I am the property owner, agent, or authorized payee of said premises.