Public Records Request

Responses to information requests are determined by the terms of the Mojave Water
Agency Resolution No. 779-04 and Government Code 6250-6270, which provide for a total
of ten (10) days to respond to the request. Information requests that require copying will
result in a charge of $.25 per page for the cost of duplication only.

Requests can be completed by either an online or PDF form.

• Online
• Fillable PDF

Online

Please complete the form below and click “submit.”

Request Date

MM slash DD slash YYYY

Requestor's Name(Required)

First Last

Organization Name

If Applicable.

Requestor's Email

Required

Mailing Address(Required)

Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code

Daytime Phone(Required)

Information Request(Required)

Please be specific.

Signature

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Comments

This field is for validation purposes and should be left unchanged.

Fillable PDF

Please download and complete the PDF below. The request can be submitted in person at agency headquarters or electronically via email to publicaffairs@mojavewater.org.

Public Information Request Form