Regulatory, Compliance & Labor
Farm Water Use Reporting Form
A form for reporting farm water use to a state or local agency, used by owners who pump wells or divert surface water for irrigation and livestock.
Download free PDF1 page, US Letter, prints clean in black and white
FormRegulatory, Compliance & LaborFree PDF
What you fill in
- Farm name and permit number
- Water source
- Reporting period
- Meter reading start
- Meter reading end
- Crops or uses served
- Acres irrigated
- Reported by
- Signature and date
How to use this form
Fill in each labeled line, sign and date it, and keep a copy. Write clearly, since someone else may need to read it later.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with USDA NRCS and eXtension.
For more in this area, see the farm safety guides. Between chores, farm.FM has farm humor, including Dairy Farm Water Use Report Finds Cows Drinking With Suspicious Enthusiasm, and agribusiness farm stories.