Greater New Haven Water Pollution Control Authority Greater New Haven Water Pollution Control Authority Greater New Haven Water Pollution Control Authority

Account Review Request Form

GNHWPCA is committed to providing our customers complete and detailed information regarding account billing and activity.

You can complete the form online or download the form and then either mail, fax, or email the form to our customer service department.

Complete Form Online:
In order for us to better serve you, please complete the online request form to the right and click “submit”. Please provide all documentation necessary to complete the review, including but not limited to copies of RWA bills, waste adjustments, repair bills, proof of fire, confirmation of irrigation systems, etc.

Download Form:
Customer Account Review Form (PDF)

Mail Forms To:
GNHWPCA
260 East Street
New Haven, CT 06511
Attn: Customer Service

Fax Forms To:

Fax: 203-776-2196

Email Forms To:
Email: customerservice@gnhwpca.com

Disclaimer: Please note that this review process does not extend payment due dates, nor does it prevent collections activity. Accounts under review and/or in dispute are subject to standard payment guidelines (refer to Customer Rights). This review process does not guarantee account adjustments.

Date *
2/23/2012
Account Number *
 
Bill Date (mm/dd/yyyy) *
 
Phone (xxx-xxx-xxxx) *
 
Service Address *
 
Mailing Address (if different from Service Address)
Reason for Review (please describe concern and attach copies of any supporting documents)
Upload a document that you would like to include in your review:
Requestor Signature *(enter first and last name)
 
 


    The fields marked with (*) are mandatory.


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Have an EMERGENCY? Call 203.466.5260

FOR SEWER MAPS OR QUESTIONS ABOUT EXISTING OR NEW SERVICE CONNECTIONS, PLEASE CONTACT US AT sewerinfo@gnhwpca.com

260 East Street, New Haven, CT 06511   Phone: 203.466.5280 l Fax: 203.466.5286