Businesses

Businesses and non-profits entities that were being served tap water by West Virginia American’s Kanawha Valley Water Treatment Plant on January 9, 2014 are eligible to make a claim for a Business payment using one of the two types of Claim Forms below.

There are two types of Business Claim Forms:

Simple Claim Form for Businesses, Non-Profit, or Governmental Entities: Eligible businesses, non-profits and governmental entities may receive a simple claim payment without documenting their losses by filing a simple claim form. If you complete this form and request a simple claim payment, your Business may not seek any other type of recovery under this Settlement.

Only one Claim Form may be submitted per business property location. If your Business operated at multiple locations within the KVTP service area, you should submit a Claim Form for each separate Eligible Business Location.

Business Individual Review Form: Complete this form if your Business (commercial businesses or non-profit organizations) operated in a location that was provided tap water service from West Virginia American’s Kanawha Valley Water Treatment Plant on January 9, 2014, you believe you have documented losses higher than the simple claim payment amount, AND you are requesting an individual review for your Business Claim as explained in the claim form instructions.

Select a Simple Claim Form

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Simple Form

Submit your form online

If your Business operated at an Eligible Business Location and you submit this Simple Claim Form for Business Claims, you will receive a payment based on the nature and status of your Business as of January 9, 2014, as well as its 2013 Annual Revenue.

Start Online Form
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Or Download Form

Print and mail in your simple claim form

Download the simple Business claim form and mail it in. Once you print this form, you can complete it and mail it with all supporting documentation to:

WV Water Claims
PO BOX 4227
Charleston, WV 25364

Download

Select an Individual Review Form

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Business Individual Review Form

SUBMIT YOUR FORM ONLINE

Click here if you believe you have documented losses higher than the simple claim payment amount, AND you are requesting an individual review for your Business Claim as explained in the claim form instructions

Start Online Form
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or Download Form

Print and mail in your form

Download the individual review claim form and mail it in. Once you print this form, you can complete it and mail it with all supporting documentation to:

WV Water Claims
PO BOX 4227
Charleston, WV 25364

Download