Water Waste Reporting Form

1. The ACWD Water Waste Reporting Form helps us identify water waste occurrences in our service area.
   For major leaks/breaks that require urgent attention, please call us immediately at (510) 668-4200.

   For major leaks/breaks that require urgent attention, please call us immediately at (510) 668-4200.

2. Contact Information
   You can report this information anonymously, but please provide enough information so that we can determine the appropriate action.

   You can report this information anonymously, but please provide enough information so that we can determine the appropriate action.

3. First Name (optional)

4. Last Name (optional)

5. Phone Number (optional)

   So we can follow up with questions to help identify the issue, if needed.

6. Email Address (optional)

   So we can follow up with questions to help identify the issue, if needed.

7. Address*

   Provide the address or cross streets/location where the waste is occurring.

8. City*

9. Please indicate the nature of the problem by checking the appropriate box(es) below:

10. *
    1. Sprinklers system running continuously
    2. Broken sprinkler system
    3. Water running continuously

    1. Water leaking on roadway, sidewalk or other area.
    2. Other (explain below)
11. Description of the Issue*

    Include time of day information so we can observe the occurrence, if needed.

12. Additional Location Information (if necessary)

13. Upon receipt of this information we will investigate to determine the appropriate action.
    Thank you for your assistance!

    Thank you for your assistance!

Leave This Blank:


14. 1. Receive email copy
15. Email address

16. Submit

* indicates a required field