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send claim to - Los Angeles Department of Water & Power PO Box 51111, Room 342 Los Angeles, Ca 90051-0100

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send claim to - Los Angeles Department of Water & Power PO Box 51111, Room 342 Los Angeles, Ca 90051-0100 Powered By Docstoc
					                                                       send claim to:
                                                                 Los Angeles Department of Water & Power
                                                                 PO Box 51111, Room 342
                                                                 Los Angeles, Ca 90051-0100
     THIS IS NOT AN ADMISSION OF LIABILITY OR A GUARANTEE OF PAYMENT BY LADWP


1 NAME:                                                                                                              BIRTHDATE:
     ADDRESS:                                                       CITY,STATE & ZIP                                 HOME PHONE NO.
     MAILING ADDRESS FOR THIS CLAIM:                                CITY,STATE & ZIP                                 WORK PHONE NO.

2 WHERE DID THE INCIDENT HAPPEN?                                                                                     DATE OF INCIDENT
              Not applicable -- This is a billing dispute.
                                                                                                                     TIME OF INCIDENT

3 DESCRIBE THE INCIDENT (USE BACK OF FORM AND ADDITIONAL SHEETS IF NECESSARY)
              You charged me a "bulky item fee," but I own a condo, and the law only allows you to impose that charge on apartments,

              not condos. You can see this by reviewing the Los Angeles Municipal Code at Article 6.1, Section 66.41(c), which authorizes
              the charge for apartment buildings and apartment tenants. Condos are not included. In 2008, City Council Members Huizar
              and LaBonge made a motion to charge condos, too, but the motion was not adopted. Therefore, you cannot charge me for this.
     DESCRIBE THE DAMAGE/INJURY/LOSS
4
              The damage is the amount you have charged me for the "bulky item fee," namely, $15.36, plus interest at the legal rate of 10%

              per year for the past 12 months' worth of charges, which according to my calculations is another 83 cents, for a total of $16.19.

5 AMOUNT OF CLAIM                     NOTE: ENCLOSURE SUPPORTING DOCUMENTS: Bills, Estimates, Invoices, Photos, etc.

  $   16.19

6 POLICE REPORT TAKEN?                                POLICE DEPARTMENT                             REPORT NUMBER
     YES( )          NO ( )

7 WITNESS TO THE INCIDENT (USE BACK OF FORM IF NECESSARY)
     NAME                                                                                                            HOME PHONE NO.
     ADDRESS                                                        CITY,STATE & ZIP

8 NAMES OF LADWP EMPLOYEES INVOLVED (IF KNOWN)
     DWP VEHICLE                      MAKE                          COLOR           VEHICLE NUMBER                   LICENSE NUMBER
     YOUR VEHICLE    YEAR             MAKE                          COLOR           VEHICLE NUMBER                   LICENSE NUMBER
9
10
     SIGNATURE:                                                                                      DATE:


     NOTICE: YOU HAVE 6 MONTHS TO FILE A CLAIM FOR DEATH, PERSONAL INJURY,
     OR DAMAGE TO PERSONAL PROPERTY, AND 1 YEAR TO FILE A CLAIM FOR DAMAGE
     TO REAL PROPERTY OR FOR ANY OTHER TYPE OF INCIDENT.


     CLAIMS INFORMATION
                  1 If applicable contact your insurance company; they are your direct insurer
                  2 Be specific about the incident; time, date, location.
                  3 You must be able to substantiate your loss. Be practical and reasonable
                  4 To document your claim send copies of: bills, cancelled checks, receipts, invoices, etc.
                     This is your own interest.

				
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posted:7/15/2011
language:English
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