Customer Name*
Service Address*
MM slash DD slash YYYY
Time Flushing*
:
To*
:
*Please note: Customers in affected areas that are experiencing water quality issues and advised by our staff to flush/run their water lines to clear out discolored water may be eligible for a credit on their bill. Daphne Utilities will review and verify water consumption records from the date and time provided above to determine how much of a credit you may be eligible to receive. For additional assistance please contact our main office at (251) 626-2628, Option 3.
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