Water Waste Report Form

* Required Field

Thank you for notifying OMWD of a specific incident that may have resulted in water waste. Please fill the form out as accurately and specifically as possible in order to assist in resolving the issue.

Anonymous reports are not accepted. Although OMWD does not share this information as part of a waste investigation, any information you provide may be subject to public disclosure as required by law.

First Name * Required
Last Name * Required
Email * Required
Address * Required
Street Address

(Example: 1966 Olivenhain Road)
Please select the water use waste you observed and provide details in the comment box.
* Required
- I observed the washing down of non-permeable surfaces.
- I observed water waste from inefficient irrigation.
- I observed use of a hand-held hose to wash a vehicle that did not have a shut-off nozzle.
- I observed irrigation during or within 48 hours of measurable rainfall.
- I observed the use of potable water in a fountain or other decorative water feature where the water is not part of a recirculating system.
Comment:
On what specific date did you observe the water waste? * Required
MonthDayYear
At what time did you observe the water waste? * Required

: Hours

Minutes

AM/PM AM/PM
What is the street address where water waste was observed?
If the exact address is unknown, what is the street name and nearest cross street, intersection, business name, homeowners association, or other detailed information that can be used to identify the responsible party?
Are there any landmarks or reference points that would be helpful to locate the water waste on a site visit?

(Example: Broken sprinkler head is two feet west of fire hydrant.)
Please upload any photos taken below as evidence of the water waste. Be sure the street number and other identifying markers are visible in at least one photo.
Max. file size: 100 MB.
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Name
This field is for validation purposes and should be left unchanged.

Water Waste Report Form

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