This form is to be used for adjustments only. We will issue credit only for pool fills (new construction or complete drain and refill for repairs). We do not issue credit for filling pools less than 5000 gallons, topping off pools, pressure washing, potable water usage for irrigation, waterbeds, outdoor fun equipment or spas. The sewer portion will be credited on the amount of water consumed for the fill. The owner is responsible for the water portion.