Get Adwr Form 5571a

Completing the Adwr Form 5571a, also known as the Request to Change Well Information, is essential for ensuring accurate well registrations with the Arizona Department of Water Resources. This guide provides clear, step-by-step instructions to help users successfully fill out this form online.

Follow the steps to accurately complete the Adwr Form 5571a online.

1. Click the ‘Get Form’ button to access the Adwr Form 5571a and open it in the editor.
2. In the upper right-hand corner of the form, enter the registration number assigned to the well by ADWR during the initial registration process.
3. Section 1 – Registry Information: Fill in the well owner's name, mailing address, and both telephone and fax numbers. If the well owner is an organization, include the contact person's name.
4. Provide the location details of the well. This includes the street address of the property, the legal description (township, range, section, and quarter section), latitude and longitude, county tax assessor’s parcel identification number, and the name of the county.
5. Indicate the type of request by checking the appropriate box. This will determine the sections that need to be filled out next.
6. If you are changing the well drilling contractor, complete Section 2 with the current contractor's details and the new contractor's information, including names and license numbers.
7. If the change pertains to ownership, complete Section 3 by providing information on the previous and the new well owners, including contact details.
8. For any other changes in well information, complete Section 4 with a detailed explanation and attach additional documents if necessary.
9. If applicable, Section 5 allows for granting permission for ADWR to enter the property to gather depth-to-water measurements.
10. In Section 6, the well owner must sign and date the form to verify the accuracy of the information provided.
11. After completing the form, save the changes. You have the option to download, print, or share the form as needed.

Complete your Adwr Form 5571a online today to ensure your well information is current and accurate.