{"id":25314,"date":"2021-05-19T09:01:45","date_gmt":"2021-05-19T13:01:45","guid":{"rendered":""},"modified":"2021-05-19T09:01:45","modified_gmt":"2021-05-19T13:01:45","slug":"pool-fill-adjustment-request","status":"publish","type":"page","link":"https:\/\/www.goldenisleslepc.org\/?page_id=25314","title":{"rendered":"Pool Fill Adjustment Request"},"content":{"rendered":"<p>Please fill in the form below. Along with this form, you are required to attach your receipts and\/or a letter from the company or person(s) who installed the pool or made the repairs. If you completed the installation or made the repairs yourself and no receipt is available, then you are required to provide a statement specifying what, when and where repairs were made. It is important that you send or fax this form along with your repair receipt(s).<\/p>\n<p>You may also download and complete our<a href=\"https:\/\/www.goldenisleslepc.org\/wp-content\/uploads\/2020\/04\/Pool-Adjustment-Form-Fillable.pdf\"> pool fill adjustment packet<\/a> instead.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f25311-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"25311\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F25314#wpcf7-f25311-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"25311\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f25311-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:25311,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/>\n<\/fieldset>\n<p><label> Customer Name:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"customer-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"customer-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Service Address:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"service-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"service-address\" \/><\/span> <\/label>\n<\/p>\n<p><label> Account Number (If Known):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"account-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"account-number\" \/><\/span> <\/label>\n<\/p>\n<p><label> Date the pool was filled:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-filled\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-filled\" \/><\/span><\/label>\n<\/p>\n<p><label> Cell Phone\/Main Contact Number:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cell-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cell-number\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email Address:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label>\n<\/p>\n<hr \/>\n<p>Dimensions of the pool -<br \/>\n<label> Capacity (in gallons):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"capacity\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"capacity\" \/><\/span> <\/label>\n<\/p>\n<p><label> Length (in feet):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"length\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"length\" \/><\/span> <\/label>\n<\/p>\n<p><label> Width (in feet):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"width\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"width\" \/><\/span> <\/label>\n<\/p>\n<p><label> Shallow End Depth (in feet):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shallow-depth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"shallow-depth\" \/><\/span> <\/label>\n<\/p>\n<p><label> Deep End Depth (in feet):<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"deep-depth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"deep-depth\" \/><\/span> <\/label>\n<\/p>\n<hr \/>\n<p><label> Attach supporting documents for the install or repair listed above, such as plumber's bill or receipt for parts (pdf, jpg or png - 10 mb max)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-repair-receipt\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.jpeg,.png\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"file-repair-receipt\" \/><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I am requesting a pool credit for an initial, one time, pool fill upon of a new pool. I have attached all supporting documentation. I understand that upon review by the JWSC, I may be considered for a credit adjustment only on the sewer portion of my bill. I understand that I must allow 30 to 90 days for my adjustment to be processed, during which time I will continue to pay my usual charges each month.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"35\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Please fill in the form below. Along with this form, you are required to attach your receipts and\/or a letter from the company or person(s) who installed the pool or made the repairs. If you completed the installation or made the repairs yourself and no receipt is available, then you are required to provide a [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":757,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-25314","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/pages\/25314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25314"}],"version-history":[{"count":0,"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/pages\/25314\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=\/wp\/v2\/pages\/757"}],"wp:attachment":[{"href":"https:\/\/www.goldenisleslepc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}