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Submit RMW Incident Report

Submit an RMW Incident Report to Alaska Department of Conservation, Division of Water. Fields marked with a red asterisk (*) are required.

Region

Are you reporting from outside your assigned region?

RMW Workers (use shift or control to select multiple workers)

Other RMW Worker Names

Is this a Responsible Party that's not the Operator?

Source of Information

Community

Latest Prior Incident Details:

Is this an Update of an Existing Incident Report?

Linked Past RMW Report

Issue Pertains To

Other Issue Description

Occurence Date

Severity

Response

Incident & Response Details

Final Entry or Issue Resolved

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Valid file types are: PDF, JPG, JPEG, PNG, and BMP.

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Attachment

Attachment Comments

I acknowledge that the above information is true and accurate to the best of my knowledge

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