Augusta, MI · Kalamazoo County

No notary required

Water Concern Submission Form

Augusta residents use this form to report water clarity or quality concerns and provide information that helps the Village track and assess them.

What this form is

The Village asks residents to submit concerns about water clarity or quality through this form so it can track and assess them. It requests the resident’s name and address, details about the concern and when it began, and answers about plumbing, fixtures, water systems, and related conditions. It also asks for contact information and a preferred contact method and time.

Who needs it

Augusta residents with concerns about water clarity or quality should submit the form to help the Village track and assess those concerns.

How to submit it

Submit water concerns through the form provided; the document says submitted data will be sent to the form owner. For additional questions or concerns, contact the Village Manager.

About notarization

No notary is required; the form requests concern and contact information and does not ask the signer to sign or date it.

How to submit this form

  1. 1

    Download the Form

    Download the Water Concern Submission Form.

  2. 2

    Provide Your Information

    Enter your name, address, water concern details, and answers to the questions about plumbing and water conditions.

  3. 3

    Add Contact Preferences

    Provide contact information and your preferred method and time of contact.

  4. 4

    Submit Your Concern

    Submit the concern through the form provided; the document says submitted data goes to the form owner.

Frequently asked questions

Do I need a notary for the Water Concern Submission Form?
No. The form does not require notarization and asks for concern and contact information, not a signed or dated statement.
How do I submit the Water Concern Submission Form?
Submit water concerns through the form provided. The document says the data you submit will be sent to the form owner.
What information does the form ask for?
It asks for your name and address, details about the water concern, when it began, answers about plumbing and water conditions, and your contact details and preferred contact method and time.

Need something notarized?

This Water Concern Submission Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.