Harwich Water Department

Water Use Charge Application For Abatement

MUST BE FILED WITH THE HARWICH BOARD OF WATER COMMISSIONERS NOT LATER THAN THE DUE DATE OF FIRST ACTUAL (NOT PRELIMINARY) TAX PAYMENT FOR FISCAL YEAR OF WHICH THE WATER CHARGE BECAME A PART.

If you prefer to mail us your application, please use our printable form (opens in new window).

* - required

*Name of Applicant:

*Mailing Address:

*City/Town:

*State:

*Zip/Postal Code:

*Phone Number:

Cell Number:

Email Address:

The above named person, aggrieved by a Water Use Charge, hereby applies for an abatement

*Date of Water Use Charge:

/ /

*Name of Person Assessed (Owner):

*Location and Description of Property:

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*Total Amount Assessed:

*Total Amount Requested:

If request is for Water Usage, what is the requested amount?:

If request is for a late fee, what is the requested amount?:

If request is for another reason, what is the requested amount?:

*Reason For Abatement Request:

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*SUBSCRIBED THIS DAY UNDER PENALTIES OF PERJURY:

/ /

THE FILING OF THIS APPLICATON DOES NOT STAY THE COLLECTION OF THE CHARGE. IT SHOULD BE PAID AS ASSESSED. REFUND WILL FOLLOW IF ABATEMENT IS ALLOWED.

*AGREE?:

I AGREE