Alameda County Water District


ACWD Records Request Form


This form is provided to help ACWD staff respond to records requests for water-related information in FREMONT, NEWARK or UNION CITY as promptly and efficiently as possible. Please take a moment to read the following instructions prior to completing the form below.

  1. Provide applicable contact information and describe the records as specifically as possible. You will be contacted once the records are assembled.

  2. For duplication requests, you will be notified of an estimated amount due and copies will be made upon receipt of payment. If the cost is less than the estimated amount, the difference will be refunded to you; if there is a balance due to the District, it must be paid at the time you receive the copies. If more than 25 copies are made, you will be charged at the following costs: 10¢ per page (15 ¢ for larger than 11x17), 40¢ per diskette, and 75¢ per CD; $1 per each certification, and postage costs if applicable. Effective 1/1/05, for data compilation, extraction or programming (associated with electronic records) to produce the record requested: $50.00 per hour for all time expended in excess of 15 minutes.

  3. YOU WILL BE NOTIFIED WITHIN 10 DAYS OF THE STATUS OF YOUR REQUEST, AT WHICH TIME YOU WILL HAVE 10 DAYS TO INSPECT THE RECORDS IN QUESTION. Requests expire 20 days from the original date of request. For additional questions, please call (510) 668-4202.
Your Contact Info:
(Items marked with an asterisk * are required.)

Name: *
Organization (if any):
Street Address: *
City: *
State: *
Zip Code: *
Daytime Phone #: *
Fax #:
Email address:


Records Request Info:
PLEASE NOTE:
We are only able to fulfill requests for water-related information in
FREMONT, NEWARK or UNION CITY CA

I am interested in the following records:
I would like the above records...

(please check one)

Copied
(someone will provide you with an estimated cost; payment must be received prior to copying)
Electronic format
(someone will contact you regarding the format)
Assembled for inspection
(someone will contact you to schedule an appointment)





BUSINESS HOURS:
8 a.m. to 5 p.m. Monday — Friday (except holidays)
(510) 668-4200

Driving Directions

MAILING ADDRESS:
Alameda County Water District
43885 S. Grimmer Blvd.
Fremont, CA 94538