The Fort Worth Water Department can potentially lose millions of gallons of water per year due to illegal connections. Your assistance in identifying any potential breach in the system is greatly appreciated.
Please complete the information below, providing as much information as possible.
Address where illegal connection may be occurring:
Location or type of connection: (Make Selection)
Time breach was observed or occurred: a.m. p.m.
Did you observe offense? Yes No
Type of connection: (Make Selection)
Contact for more information: Day phone: