Water, Wastewater and Irrigation Form

To be considered for an adjustment, submit your request within 90 days of the billing period in question. Adjustments are limited to no more than two in a 36-month period per residence. By requesting an adjustment, you are waiving your rights to any future adjustments after two adjustments within any 36-month period, regardless of the subsequent amount. 

If you need an extension on your bill while your request is being processed, apply for an extension online or call one of our representatives at (904) 665-6000.

This form is not a guarantee that a credit will be applied to your utility bill. You will be notified if the request cannot be granted or if additional information is needed.

*Name on Account

*JEA Account Number

*Service Address

*Email

*Contact Phone Number

*Date Leak Occurred

*Date Leak Repaired

Type of Leak

*Please describe the leak and actions that were taken to complete the repairs (300-character max.) 

By checking this box, you are authorizing JEA to process an adjustment on the water and/or sewer portion of your bill. You will be notified if the request cannot be granted or if additional information is needed. If approved, this will be one of the two adjustments authorized in a 36-month period on your account. This may result in JEA denying a future adjustment request even if the amount is higher.

After submitting, please email the repair documents with your account number to wateradjustment@jea.com. If you are unable to submit your repair documents via email, you may send them by mail or Fax to:

JEA Customer Advocacy and Resolution Team

21 W. Church Street, CC-2

Jacksonville, FL 32202

Fax (904) 665-7990