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.
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