Drought Emergency Information

This form is for use by individuals not served by a public water system experiencing problems with their water supply and agencies receiving calls from those individuals.

How is this information going to be used?

This information is intended to inform and coordinate state response to mitigate drought impacts on household water supplies. Data collected is considered confidential and access to it is restricted. As part of our emergency response efforts to the drought, we are gathering information relating to private well water availability. Given the public safety, security, and privacy concerns pertaining to this information, we will treat this information as confidential to the extent permitted under California law. Collection of data is not to be construed as application for local, state or federal assistance. Individuals interested in financial assistance will be directed towards appropriate resources.

Data Collection Entails:

• Contact information for Household experiencing water shortage
• Water Shortage Problem Information and Location
• Financial Resources Available
• Well Log Data (optional)
• Reporting Agency or Local Government Information

**All information collected is confidential to the extent permitted under California law.