Well Pump and Pressure-Tank Service-Call Worksheet

A free printable worksheet that records symptoms, gauge readings, cycle timing, paperwork, and access details before you call about a well pump problem.

Service availability varies by address, the issue, provider coverage, and current schedules.

Independent service-request website. Calls and forms may be shared with a third-party provider. The provider confirms availability, pricing, and service terms.
How to use it

Write it down before you call

This worksheet records information for a service call so the provider understands the property without guessing from a one-line description. It does not size, design, or diagnose a system — it just captures what you can safely observe. Print it or copy it into your notes.

The reading prompts follow the National Ground Water Association's annual well-checkup guidance (system output, water level when possible, motor performance, line voltage, pressure tank, and pressure-switch contact). Checked July 22, 2026. Checked JUL 22 2026

Property & system

  • Property address and whether it is in city limits or unincorporated
  • Does the well feed the building, irrigation, or both?
  • Pump type, if known (submersible or jet)
  • Approximate age of the pump and pressure tank

What the water is doing

  • No water, weak pressure, air/sputtering, cycling, running continuously, or leaking
  • Are all fixtures affected, or just one?
  • When did it start, and was it sudden or gradual?
  • Did it follow a storm, flood, outage, vacancy, or recent work?

Readings you can note safely

  • Visible pressure-gauge reading (do not open electrical covers)
  • Roughly how often the pump cycles on and off
  • Any unusual sounds from the pump or tank
  • Whether a breaker tripped (do not repeatedly reset a tripping breaker)

Paperwork & access

  • Any well report, permit, or past service invoice
  • Pump or tank model information, if available
  • Gate codes, pets, tenants to notify, wellhead reachability
  • Who is authorized to approve work

A safety line worth repeating: do not pull covers off electrical controls, handle exposed wiring, enter a well pit, or try to pull a pump. Note what you can see and hear from a safe distance.

Call (863) 555-0100 once your notes are ready

Filled it out? Make the call.

Call (863) 555-0100 with your notes in hand. A provider confirms scope, availability, timing, and pricing.

Tell us the service, the issue, and your city. A provider will confirm availability, timing, and pricing. Service availability varies by address, the issue, provider coverage, and current schedules.

Independent service-request website. Calls and forms may be shared with a third-party provider. The provider confirms availability, pricing, and service terms.