Request Sewer Average Adjustment Online Form

The City of Elko New Market has a sewer averaging policy in place using the months of December, January and February. The water usages of these 3 months create a sewer average that is used as the “sewer usage” for each monthly utility billing from March through November.

This request form is available for residents that feel that they have incurred accidental water usage during the averaging period, resulting in a higher than normal sewer average.

Please fill out the following form to request a sewer average adjustment. (Please note: once this form has been received, city staff will review the request and a determination will be made.)

Service Address:
Please provide the service address below by entering the house number and locating the street name of the property in the pull-down list.

House Number *

Street Name *

Zip Code *

Requester Contact Information:
Please provide your contact information below.

Full Name *

Phone Number *

Cell Phone Number

Email Address

Please provide the month that the accidental water usage occurred. Check all that apply * December
January
February

Please provide detail of the reason for your request here. Please provide as much detail as possible *

Additional Comments:
Please provide any additional information or comments below.

Additional Comments

How would you like to be contacted on the status of your request? Please choose an option below *

* - denotes required field