Residential Water Budget Variance Request Form

This form is to request a water budget greater than the standard amount Corona DWP uses.

Account Number: *

Customer Number: *

Name on the Account *

Service Address *

Phone Number *

Email Address

Best way to contact you: *

Mail

Phone

Variances may be approved for any of the following reasons and are subject to periodic review. I request an increased water budget for the following reason(s). Check all that apply: *

More than 2 Full-time residents in each unit.

Irrigated landscape area greater than Corona DWP estimate.

Pool filled from empty.

Other circumstances.

More than 2 full-time residents in each unit.

You will be required to renew this request every 5 years.

Units *

Irrigated landscape area greater than Corona DWP estimate.

After submitting this form, please send a property sketch with dimensions on 8.5” x 11” paper to customercare@discovercorona.com.

Corona’s estimated landscape area (sq. ft.): *

Total existing landscape area (sq. ft.): *

Please upload a clear photo or scan of a property sketch with dimensions: *

Pool filled from empty.

A one-time adjustment calculated at the outdoor rate granted no more than once every 5 years for routine maintenance. If the pool is required to be drained to repair a leak or damage, please upload a copy of the invoice.

Date to be filled: *

Total capacity of pool: *

Width *

Length *

Depth at deep end: *

Depth at shallow end: *

If the refill was done to repair the pool, please upload a clear photo or scan of the invoice.

Other circumstances

There are instances when an increased budget on a permanent or temporary basis is appropriate. If you believe that is your case, please provide the details in the fields below and upload a clear scan or photograph of documentation (receipts for parts purchased/invoices). If there is no end or repair date, please note that in the comment field.

Start Date: *

End Date *

Repair Date *

Enter the reason for your request: *

Please upload a clear photo or scan of any invoices to support your claim

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