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Water Bill Refund Request

  1. Water Bill Refund Request
    This form is to be used to request a refund of overpayment for a water bill with the City of Westland. Allow 30 to 90 days for reimbursements after the request has been reviewed.
  2. Westland_City_Seal_2016_FullColor_120x120
  3. Refund Recipient Information
  4. 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.
  5. Please allow 30 to 90 days for reimbursement after review of the request. The recipient listed will be contacted if there are any questions.
  6. Internal Use Only
  7. Leave This Blank:

  8. This field is not part of the form submission.