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BOARD OF WATER AND SEWER CHARGE REVIEW REQUEST FORM

The information must be filled out in its entirety. Ensure that the correct deposit is remitted prior to forwarding this complaint/dispute to the Board of Water and Sewer Charge Review.

Guidelines for Required deposit:
· For an account to be considered for review, a written appeal must be received within 2 billing cycles of the date of disputed bill and comply with the deposit requirements below per Dayton Water Rules & Regulations Section 2N.2.

Guidelines for Required deposit:
· A review request filed AFTER the due date, but before the shut-off notice has been generated requires a 25% deposit.

· AFTER the shut-off notice has been generated, a 50% deposit is required.
· If the service has been shut-off, but turn on is not being requested, a 50% deposit is required.
· If the service has been shut-off and you are requesting reinstatement, a 100% deposit is required. The total balance must be paid in full prior to a review of your complaint.

Payments can be made online at PayDaytonWater.com, in person in City Hall, or through the IVR by calling 937-333-3550. The deposit payment must post to your account before your complaint is reviewed.
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