Water Waste Report Form

2. Thank you for contacting the Watsonville Public Works and Utilities Customer Service to report a situation regarding water waste or a violation of water restrictions. Please provide specifics such as the time and date when you observed the water waste, the exact location where it occurred, a brief description of the problem, and how long the situation has been observed.

4. Date and Time*
   Date and Time

   Date and Time

5. Location*

   Give the exact location of where water waste is occurring.

7. Description of Problem

   1. Excess water running to waste
   2. Irrigation leak/broken irrigation equipment
   3. Use of hose without a shut off nozzle
   4. Uncorrected plumbing leak at property
   5. Other - please describe below

9. Describe problem

   If you selected "other," please describe the problem

11. How long has the situation been occurring*

13. All reports remain anonymous. However, if you would like us to discuss this matter, you may optionally leave your name and number or e-mail address and we will contact you as soon as our schedule allows.

    All reports remain anonymous. However, if you would like us to discuss this matter, you may optionally leave your name and number or e-mail address and we will contact you as soon as our schedule allows.

15. Name

16. Email Address

18. Phone Number

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field