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2. 
4. Customer Name*
5. Date*
   Date
7. Service Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Account #*
16. Request
    I hereby request Babcock Ranch Water Utilities to test my water meter in accordance with the guidelines established for used water meters by the American Water Works Association (AWWA). The Meter Testing Fee shall appear on my next billing statement. If the meter tests accurate, I shall forfeit the meter testing fee.
18. If the meter does not meet AWWA accuracy standards, BRWU shall credit the meter testing fee to my next water bill along with a credit based upon my average consumption over the prior 12 months and BRWU shall make corrective water meter repairs at its expense.
20. 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.
22. Electronic Signature*
24. Telephone: 800-826-5721
25. Form 12 - Rev 11/25/19
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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