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Water Restrictions Violation Reporting Form
Leave This Blank:
Please use this form only to report a possible water restriction violation.
To submit a comment, question or complaint about water restrictions, please use the Contact Us form (link provided in page footer).
You may also report a violation by calling 800.226.1066 or 386.362.1001 Monday – Friday, 8 a.m. to 5 p.m., excluding major holidays.
Violation Location
Owner (if known):
Address:
*
City:
ZIP:
County:
*
Alachua
Baker
Bradford
Columbia
Dixies
Gilchrist
Hamilton
Jefferson
Lafayette
Levy
Madison
Putnam
Suwannee
Taylor
Union
Location Details:
Day & Time (at least one specific occurence)
Date:
Time:
AM/PM:
AM
PM
Activity Observed
Type of Violation:
*
Agricultural water runoff
Wasteful/unnecessary water use
Watering on the wrong day
Watering at the wrong time
Watering wrong day and time
Other
Additional Information (pertinent details):
Contact Information
Your personal information is optional and becomes public record.
First Name:
Last Name:
Email:
Telephone:
Address:
City:
ZIP:
County:
Alachua
Baker
Bradford
Columbia
Dixie
Gilchrist
Hamilton
Jefferson
Lafayette
Levy
Madison
Putnam
Suwannee
Taylor
Union
* indicates required fields.
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