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CITY OF SANTA CRUZ MUNICIPAL UTILITIES

212 Locust Street, Suite D


Santa Cruz, CA 95060
(831) 420-5220



REQUEST TO ATTEND WATER SCHOOL CLASS
Please respond within 10 days of receipt of your utility bill.


CUSTOMER INFORMATION:
Customer name: Account number:
Service address:
Mailing address: City/State: Zip:
Email: Telephone:
Number of permanent residents at this address:

PENALTY INFORMATION: (The following information is located on your utility bill)
1. Utility bill date:
2. Your monthly allotment: CCF
3. Water consumption this period: CCF
4. Excess use: CCF
5. Total penalty amount: $


I would like to attend a Water School class to dismiss my current penalty. I understand that if I
fail to attend after being enrolled, the penalty amount will be due immediately with no
further right of appeal.

Water School is held Monday nights at the Louden Nelson Community Center, Room 5, 301
Center Street, Santa Cruz beginning at 6 p.m. Please arrive 15 minutes early and bring your
I.D. You will receive notification of the scheduling of the class within 10 business days of receipt
of your request.

Name (please print legibly): _______________________________________________________

Signature: Date:

Return this completed form to: Santa Cruz Municipal Utilities
212 Locust Street, Suite D
Santa Cruz CA 95060


Office Use Onl y


Received by: __________________________________________ Date: ______________________________