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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.

Report Submitter Contact Info

Region

Are you reporting from outside your assigned region?

RMW Worker

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

First Name

Last Name

Title

Organization

Phone

( ) - -

Community

Is this an Update of an Existing Incident Report?

Linked Past RMW Report

Issue Pertains To

Other Issue Description

Occurence\Update Date

Severity

Details

Response

Reponse Details

Final Entry?

The file upload size for all files is 20 Megabytes.

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

You can enter comments for the attachment such as a description or more information about the attachment.

Attachment1

Attachment1 Comments

Attachment2

Attachment2 Comments

Attachment3

Attachment3 Comments

Attachment4

Attachment4 Comments

Attachment5

Attachment5 Comments

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

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