Form Center

2. I hereby request to have my water meter tested for accuracy pursuant to the Anna Code of Ordinances Part II, Article 49, Section 2.06. In making this request, I understand that if the meter reading is not within 3% being accurate, it shall be repaired or replaced and the water bill will be adjusted appropriately up to a maximum of three months. If the meter is found to be within 3% of being accurate, I agree to pay a $100.00 meter test fee as set forth in the Anna Code of Ordinances, Part IV, Article 7, Section 7.
4. Acknowledgement*

   1. I agree
5. Full Name*
6. Date
   Date
8. Meter in question Address*
Leave This Blank:


11. 1. Receive an email copy of this form.
12. Email address

    This field is not part of the form submission.

13. Submit Submit and Print

* indicates a required field