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2. 
4. Keep your original bill and e-mail this form along with any accompanying documentation to: UtilitiesCustomerService@BabcockRanchCommunityISD.com
   As a customer of Babcock Ranch Water Utilities, a division of the Babcock Ranch Community Independent Special District (BRCISD), you have the right to request an Excessive Usage Credit in accordance with the Babcock Ranch Water Utilities Policies Manual (“Policies”).
6. Upon receipt of the Excessive Usage Credit (“EUC”) form
   The request is reviewed in accordance with the Policies. If all criteria is met, you will receive an approval indicting the credit amount. If you have bank drafting set up on your account, the amount will be corrected or removed, whichever is applicable.
8. Allow 10 business days to process this EUC form.
   An EUC is only granted once within a three (3) year period on a specific account. This will actually lower your utility bill to your average usage plus the lowest tiered rate for any gallons above average use. In the event you have a subsequent high bill within the same (3) year period, at the Utility Director / District Manager’s discretion, the initial EUC may be reversed and substituted with the subsequent EUC.
10. Detailed Description:*
12. Account #*
13. Invoice Date*
    Invoice Date
14. Invoice Number:*
15. Invoice Amount:*
17. Name:*
18. Phone Number:*
20. Service Address*
22. City*
23. State*
24. Zip Code*
26. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
28. Electronic Signature*
32. Office Use Only
    1) The abnormally high usage for any one monthly reading cycle where the actual meter reading is four times the average monthly usage for the past twelve (12) months for the Customer at the specific service location (or in the event the service location has less than twelve (12) months’ usage history, the average District-wide usage for the same Customer classification);
34. 2) The total usage during the monthly reading cycle on the Customer’s billing in question exceeds fifty thousand (50,000) gallons;
36. 3) The abnormally high usage is not the result of an apparent or deliberate act or omission of the Customer such as pool filling, or hoses left running;
38. 4) The EUC is limited to one (1) time within a three (3) year period on a specific account; and,
40. 5) The billing in question has occurred within the past six (6) months.
42. Meter #
43. Credit Amount: $
44. Approved
46. Denied
47. Date
49. Approvals
51. (1) Billing
52. Initials
53. Date
55. (2) TCU
56. Initials
57. Date
59. (3) Accounting
60. Initials
61. Date
63. Telephone: 800-826-5721
64. Form 6 – Rev 7/29/19
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field