Report a Water Waster

2. Please use this form to alert the Menlo Park Water District of a water waste incident. Please provide as much detail as possible so our staff can best act to resolve the matter. Please do not use this form to report an emergency situation or water main break. You can find more information online at menlopark.org/drought.
   

6. Date/Time Observed
   Date/Time Observed

   Date/Time Observed

8. Location Type

   1. Residential
   2. Commercial (include Business Name)

   1. Park
   2. Street Median

   1. Street
   2. Other (please describe)

10. Address or Location

12. City

13. State

14. Zip

16. Cross Streets

18. Upload Photo/Video #1

    *Optional

19. Upload Photo/Video #2

    *Optional

21. Please describe what you observed

25. YOUR CONTACT INFORMATION

27. First Name

28. Last Name

30. Address

32. City

33. State

34. Zip

36. Phone

37. Email

Leave This Blank:


39. Submit

* indicates a required field