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 DWR Public Forms
Updated: May. 16, 2008
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DWR No.
Form Name
Revision Date
Pages
File Size
Adobe
MS Excel
Other
3
Application for Approval of Plans and Specifications for the Construction or Enlargement of a Dam and Reservoir
08/06
2
226 KB
3 PDF
Instructions
08/06
1
18 KB
3 PDF instructions
4
Application for Approval of Plans and Specifications for the Repair or Alternation of a Dam and Reservoir
08/06
2
242 KB
4 PDF
Instructions
08/06
1
18 KB
4 PDF instructions
5
Application for Approval of Plans and Specifications for the Removal of a Dam and Reservoir
08/05
2
219 KB
5 pdf
20
Reservation Agreement: Resources Building Auditorium
08/06
2
60 KB
20 Word
33
Encroachment Permit Application
03/07
1
44 KB
33 PDF
33c
Standard Provisions (to Encroachment Permit)
03/00
4
34 KB
33c PDF
38
Public Water System Statistics
12/06
1 of 2
55 KB

38 Excel Page 1

38
Public Water System Statistics, Instructions
12/06
2 of 2
32 KB
38 Word Page 2 Instructions
156
Performance Bond
03/94
1
10 KB
156 PDF Read Only
330
Travel Expense Claim (This form must be printed on NCR paper only.)
01/07
1 of 2
737 KB
330 PDF Page 1
Travel Expense Claim (Instructions)
01/07
2 of 2
21 KB
330 PDF Page 2
663
Contractor's Lost Time Accident Report
07/01
1
48 KB
663 Word
664
Contractor's Monthly Lost Time Accident Summary
07/01
1
41 KB
664 Word
922
Contractor's Accident Record
07/01
1
64 KB
922 Word
922a
Contractor's Accident Summary
07/01
1
58 KB
922a Word
3306a
Escrow Agreement for Security Disposition in Lieu of Retention (Option A)
01/07
2
226 KB
3306a PDF
   
3306b
Escrow Agreement for Security Disposition in Lieu of Retention (Option B)
01/07
2
226 KB
3306b PDF
   
3597
Reproduction Work Order (Please print on NCR paper only.)
09/05
1
45 KB
3597 MS Word
3615
Application for a Reclamation Board Encroachment Permit
11/02
2
59 KB
922a Word
3615a
Environmental Assessment Questionnaire for Applications for Reclamation Board Encroachment Permits
07/03
5
51 KB
922a Word
3615b
General Information Regarding Applications for Reclamation Board Encroachment Permits
03/07
3
80 KB 3615b PDF Read Only

Exhibit 1

1
506 KB 3615b Example 1 PDF Read Only SAVE

Exhibit 2

1
96 KB 3615b Example 2 PDF Read Only

Exhibit 3

1
1797 KB 3615b Example 3 PDF Read Only SAVE

Exhibit 4

1
1977 KB 3615b Example 4 PDF Read Only SAVE

Sample 1

1
109 KB 3615b Sample_1 PDF Read Only

Sample 2

1
77 KB 3615b Sample_2 PDF Read Only
4021
Bidders Bond
03/94
1
103 KB
4021 PDF Read Only
4107
Authorization to Use Privately Owned Vehicles on State Business
03/01
1 of 2
48 KB
4107 Excel Page 1
 
Instructions
2 of 2
41 KB
4107 Excel Page 2
 
4185
Volunteer Service Agreement
06/05
1
207 KB
4185 PDF
4197
General Conditions for Public Works Contracts
06/01
2
34 KB
4197 Word
4206
Noncollusion Affidavit
04/90
1
7 KB
4206 PDF Read Only
4214
Urban Streams Restoration Program, Periodic Estimate for Partial Payment: Expenditure Summary
11/01
1 of 2
53 KB
4214 Word Page 1
4214
Urban Streams Restoration Program, Periodic Estimate for Partial Payment: Claims Summary
11/01
2 of 2
54 KB
4214 Word Page 2
4214a

Urban Streams Restoration Program, Periodic Estimate for Partial Payment: Directions for Submitting Invoices

11/01
1
22 KB
4214a Word
4247

Standard Clauses -- Contracts with United States Bureau of Reclamation

09/95
1
183 KB
4247 PDF Read Only
4277
Budget and Expenditure Summary
07/07
1
25 KB
4277 Excel
4277a
Claim for Reimbursement (Public)
07/07
1 of 2
25 KB
4277a Excel Page 1
07/07
2 of 2
12 KB
4277a PDF Page 2
4277b
Claim for Reimbursement (Private)
07/07
1 of 2
26 KB
4277b Excel Page 1
07/07
2 of 2
12 KB
4277b PDF Page 2
4277c
Claim for Reimbursement (Itemized)
02/99
1 of 2
44 KB
4277c Excel Page 1
02/99
1 of 2
39 KB
4277c Excel Page 2
4277j

Budget & Expenditure Summary: Other Source of Funds

07/07
1
23 KB
4277j Excel
4277k
Claim for Reimbursement (Joint)
07/07 1 47 KB  
4277k Excel
 
Instructions for Completing DWR4277k
07/07 1 11 KB    
4277k PDF
4279
Security Agreement (Deposit Account)
05/06 1 206 KB
4279 PDF
4280
Fiscal Services Agreement
03/06
2
4567 KB
4280 PDF
4282
Security Agreement
04/02 1 33 KB
4282 Word
9502
Contractor's Disposal Report
02/02
1 of 2
97/44 KB
9502 PDF Page 1
9502 Word Page 1
2 of 2
56/21 KB
9502 PDF Page 2
9502 Word Page 2
9518
Resources Building Security Badge Request for Frequent Courier/Delivery Personnel
02/03
1 of 2
40 KB  
4279 Word
2 of 2
59/28 KB
4277k PDF Page 2
9518 Word
9522
Security Request
01/03 2 126 KB
9522 PDF
9552
Publication Request
03/04 1 29 KB  
9552 Word
9553
DVBE Activity Report Form
05/04 2 335 KB
9522 PDF
9557
Recycled Content Certification Form
07/06 1 44 KB  
9557 Word
9575
Post and Bid Position Announcement (Bargaining Units 1, 4, and 11)
03/05

1

231 KB 9575 PDF
9576
Post and Bid Application (Bargaining Units 1, 4, and 11)
03/05

2

225 KB 9576 PDF
9577
Post and Bid Dispute Resolution (Bargaining Units 1 and 4)
03/05

1

199 KB 9577 PDF
9620
Proposition 50 Claim for Reimbursement Forms
07/07 1 - 2 618
KB
9620, pages 1 and 2, PDF    

3 - 5

87 KB 9620, pages 3 through 5, PDF
9591
Resources Building Elevator Incident Report
12/05

1

40 KB  
9563 WORD

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