Public Forms

We provide an access point to DWR Public forms. The Directory contains links to electronic versions of relevant and current public forms, providing citizens and employees with another resource to conduct business with the State of California.

Form No. Form Name Revised Date
3 Application for Approval of Plans and Specifications for the Construction or Enlargement of a Dam and Reservoir pdf icon 01/2009
3 Instructions pdf icon 01/2009
4 Application for Approval of Plans and Specifications for the Repair or Alternation of a Dam and Reservoir pdf icon 01/2009
4 Instructions pdf icon 11/2009
5 Application for Approval of Plans and Specifications for the Removal of a Dam and Reservoir pdf icon 11/2009
33 Encroachment Permit Application pdf icon
09/2014
33c Standard Provisions (to Encroachment Permit) pdf icon 01/2009
38 Public Water System Statistics (xls file, for Excel 2003 and prior) xls icon 08/2012
38 Public Water System Statistics (xlsx file, for Excel versions newer than 2003) xls icon 08/2012
38 Public Water System Statistics, Instructions pdf icon 01/2013
156 Performance Bond pdf icon 11/2014
663 Contractor's Lost Time Accident Report Word file icon 01/2009
664 Contractor's Monthly Lost Time Accident Summary Word file icon 01/2009
877 Employee Exit Interview Report (Confidential) Word file icon 01/2009
922 Contractor's Accident Record Word file icon 01/2009
922a Contractor's Accident Summary Word file icon 01/2009
3306a Escrow Agreement for Security Disposition in Lieu of Retention (Option A) pdf icon 01/2009
3306b Escrow Agreement for Security Disposition in Lieu of Retention (Option B) pdf icon 01/2009
3615 Application for a Central Valley Flood Protection Board Encroachment Permit pdf icon 10/2011
3615 General Information pdf icon 10/2011
3615a Environmental Assessment Questionnaire for Applications for Central Valley Flood Protection Board Encroachment Permits pdf icon 10/2011
3615b General Information Regarding Applications for Central Valley Flood Protection Board Encroachment Permits pdf icon 01/2009
3615b Exhibit 1 pdf icon 01/2009
3615b Exhibit 2 pdf icon 01/2009
3615b Exhibit 3 pdf icon 01/2009
3615b Exhibit 4 pdf icon 01/2009
3615b Sample pdf icon 01/2009
4021 Bidders Bond pdf icon 11/2014
4107 Authorization to Use Privately Owned Vehicles on State Business xls icon 10/2010
4107 Instructions xls icon 10/2010
4197 General Conditions for Public Works Contracts pdf icon 11/2017
4206 Non-Collusion Declaration to be Executed by Bidder and Submitted with Bid for Public Works pdf icon 07/2017
4277 Budget and Expenditure Summary xls icon 05/2012
4277a
Claim for Reimbursement (Public) (1 of 2) xls icon 01/2009
4277a Claim for Reimbursement (Public) (2 of 2) pdf icon 01/2009
4277b Claim for Reimbursement (Private) (1 of 2) xls icon 01/2009
4277b Claim for Reimbursement (Private) (2 of 2) pdf icon 01/2009
4277c Claim for Reimbursement (Itemized) (1 of 2) xls icon 01/2009
4277c Claim for Reimbursement (Itemized) (2 of 2) xls icon 01/2009
4277j Budget & Expenditure Summary: Other Source of Funds xls icon 01/2009
4277k
Instructions for Completing DWR4277k xls icon 01/2009
4277k Environmental Assessment Questionnaire for Applications for Central Valley Flood Protection Board Encroachment Permits pdf icon 01/2009
4279 Security Agreement (Deposit Account) pdf icon 01/2009
4280 Fiscal Services Agreement pdf icon 01/2009
4282 Security Agreement (pdf) pdf icon 01/2009
4282 Security Agreement (doc) Word file icon 01/2009
9502 Contractor's Disposal Report (1 of 2, pdf) pdf icon 01/2009
9502 Contractor's Disposal Report (1 of 2, doc) Word file icon 01/2009
9502 ntractor's Disposal Report (2 of 2, pdf) pdf icon 01/2009
9502 Contractor's Disposal Report (2 of 2, doc) Word file icon 01/2009
9518 Resources Building Security Badge Request for Frequent Courier/Delivery Personnel (1 of 2, doc) Word file icon 01/2009
9518 Resources Building Security Badge Request for Frequent Courier/Delivery Personnel (2 of 2, pdf) pdf icon 01/2009
9518 Resources Building Security Badge Request for Frequent Courier/Delivery Personnel (2 of 2, doc) pdf icon 01/2009
9524a Key Policies Notice Acknowledgement pdf icon 09/2017
9553 DVBE Activity Report pdf icon 08/2014
9557 Recycled Content Certification Word file icon 02/2014
9576 Post and Bid Application (Bargaining Units 1, 4, and 11) pdf icon 01/2009
9620 Proposition 50 Claim for Reimbursement Forms (1-2) pdf icon 01/2009
9620 Proposition 50 Claim for Reimbursement Forms (3-5) pdf icon 01/2009
9657 Darfur Contracting Act Form pdf icon 09/2011



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