Baseline Reallocation Request

"*" indicates required fields

Service Number*

Service Address*

Street Address City State ZIP Code

Customer Name*

Phone*

Customer Email Address*

Existing Baseline per Month

JAN: Baseline (ccf)*

FEB: Baseline (ccf)*

MAR: Baseline (ccf)*

APR: Baseline (ccf)*

MAY: Baseline (ccf)*

JUN: Baseline (ccf)*

JUL: Baseline (ccf)*

AUG: Baseline (ccf)*

SEP: Baseline (ccf)*

OCT: Baseline (ccf)*

NOV: Baseline (ccf)*

DEC: Baseline (ccf)*

Total Water Budget*

Baseline (ccf)

Requested Adjustments per Month

JAN: New Baseline (ccf)*

FEB: New Baseline (ccf)*

MAR: New Baseline (ccf)*

APR: New Baseline (ccf)*

MAY: New Baseline (ccf)*

JUN: New Baseline (ccf)*

JUL: New Baseline (ccf)*

AUG: New Baseline (ccf)*

SEP: New Baseline (ccf)*

OCT: New Baseline (ccf)*

NOV: New Baseline (ccf)*

DEC: New Baseline (ccf)*

Total Water Budget**

New Baseline (ccf)

I understand that the service is subject to all conditions for water service as set forth in the District Code and in the Water Service Application on file for this property. As a condition of service, I acknowledge that I shall comply with all water efficiency standards established by the District.

Name*

Customer / Representative

Date*

CAPTCHA

Baseline Reallocation Request – Monthly Billing