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Informational Order Supporting Data (Part 1)

Please fill out and submit the web form below for each Statement of Water Diversion and Use (Statement).
Attachments should be sent to the following email address:
SWRCB-2014informational-order@waterboards.ca.gov with the subject title named as directed in the web form.

Preview the Complete Form (PDF) in order to gather the necessary information.

Questions regarding this form can be directed to: Phone: 916-341-5342

Top of Form

Enter the Statement Number associated with this report (e.g., S012345). If you are reporting for multiple water rights, please use a separate web submission for each Statement Number.
Statement Number: *	A value is required. \| Location of Water Right (County):
Adjudication Name:	\| Adjudication Diversion No.
Primary Owner:*	A value is required.
Mailing Address:
City:	, State: , Zip:
Telephone:*	A value is required.
Email:*	A value is required.
Person Filing This Form: * A value is required.
Mailing Address:
City:	, State: , Zip:
Telephone: *	A value is required.
Email:*	A value is required.
*(Required)**

Revised February 4, 2015

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