Harwich Water Department & Wastewater

Water Restriction Violation Report Form

This is an anonymous form. Unless provided, no personal information is collected and/or forwarded to our office.
Please note - some properties may have irrigation systems on well water rather than town water.

*** REPORT MUST NOTE HOUSE NUMBER AND STREET NAME ***

Water Conservation Violation Report Form

Time violation was observed*010203040506070809101112 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM

Date violation was observed*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 20232024202520262027202820292030203120322033

Address or location of violation*

Description of violation*

If you would like us to contact you regarding this report, please provide the information below

Name

E-mail Address

Address

Phone

Enter the letters in the image above in the box below.