2. Instructions:
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   DO NOT USE THIS FORM TO REPORT LEAKS AT YOUR OWN HOME. The intent of this form is to report water leaks or waste of water at other residences, businesses, or Town owned and operated facilities, where the owner/operator or Town may not yet have knowledge of the problem. If you wish to report a leak at your own home or business, please call our Utility Billing office at (707) 838-1004 during regular business hours.
6. To report leaks or water waste (NOT AT YOUR HOME), please fill out this form completely and then click on the submit button below. Submissions are reviewed during regular office hours, Monday to Thursday from 7:00 a.m. to 6:00 p.m. To report matters of health and public safety after hours, please call (707) 838-1000, or dial 911 to report an emergency.
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10. For additional information about the Town's Water Waste Regulations, click the link below:
    Regulations and Restrictions on Water Use
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14. What is the location? DO NOT ENTER YOUR HOME ADDRESS. THIS FORM IS NOT FOR REPORTING LEAKS AT YOUR HOME. Please be specific and include the street address, nearest intersection, or other identifying features that would help to easily locate the problem. *
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18. When was the leak or waste observed? Please be specific and include both the date and time of day.*
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22. Please provide a brief description:*
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26. Contact Information:
    
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30. Although reports may be submitted anonymously, it is more helpful to provide us with contact information should questions arise or when clarification is needed. Your contact information will be kept confidential.
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34. Name:
36. Phone Number:
38. Email Address:
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field