Illegal Water Connection Complaint Form
Use this form to report a suspected illegal water connection. Please provide as much detail as possible to assist with the investigation.
Location of Suspected Illegal Connection
*
Nearest Landmark or Cross Street
Description of the Issue
*
Upload Photo or Document (optional)
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of
Date Observed
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your Name (optional)
First Name
Last Name
Your Email (optional, for follow-up)
example@example.com
Your Phone Number (optional, for follow-up)
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Complaint
Should be Empty: