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