Water Credit Refund Request

The Water Refund Request form below should be completed if all the following apply:

  1. You had an active water account with the City of Flint at any time during the period May 1, 2014 through March 31, 2016, or you are the designated representative for a company with an active account during that period; and
  2. The water account you had during that time has been closed; and
  3. There is not a balance due on your water account and you have a credit.

City personnel will review your request and verify eligibility. Eligible applicants will be sent additional information and forms by mail, and will need to return those forms and supporting documentation to the City Customer Service Center. Reviews will be conducted on a first-come, first-served basis and may take up to 8 weeks or more. Any refunds to which you may be entitled will be first applied against any financial obligations owed to the City of Flint.

Thank you for your patience. Please refrain from calling as it will delay our processing. After you click “SEND”, you will be emailed an acknowledgement.





Customer First Name*

Customer Last Name*

Company Name (if applicable)

Service Address*

Current Mailing Address

Name*

Care of

Address 1*

Address 2

City*

State*

Zip Code*

Country

Cell Phone*

Other Phone

Your Email

Check box if you would like to donate your refund to the Flint Water Relief efforts.

Check box if you want to transfer your refund to another account or person (provide details below).

Other Information (i.e. customer on account is not alive, two party check requested, etc.)

Pursuant to Sec. 31-47 of the Flint Code of Ordinances, knowingly providing false statements to a City official is a misdemeanor punishable by up to 90 days imprisonment and/or a $500 fine. I hereby affirm, subject to the penalty for false statements to City officials, that the information provided is true to the best of my knowledge.