CITY OF WESTFIELD DEPARTMENT OF PUBLIC WORKS STORM WATER MANAGEMENT ABATEMENT REQUEST
Date:
Abatement No.
Amount Billed:
Bill No.
Abatement:
Date Committed
Total Due:
(date of bill)
The City Collector is hereby authorized to allow abatement on bill committed for collection, as herein stated:
Telephone:
Name:
Property Location: Property Owner/Authorized Representative: (Signature)
Reason for requesting abatement:
Office use only
Reason confirmed with:
Engineering
Assessor
( initials of person making confirmation)
Explanation:
Granted:
Denied:
Approved by: DPW Superintendent
Water Dept.