Standing Water Report

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Please correct the field(s) marked in red below:

County Administration Building
P.O. Box 3000
Somerville, New Jersey 08876-1262

908.231.7155 Fax 908.704.8042

Only Submit if water has been standing for at least 5 days or more

Enter the date: 
Please provide the following contact information:
First Name:
Last Name:
Street Address:
Address (cont.)

City

If your city is not listed, please contact your local health department for assistance.

 *
Zip/Postal Code
Work Phone
Home Phone
E-mail:
Location of (ie:stream,pool,standing water,tires)
Cross Street and/or Landmark for Identification of Location
Additional Information
  1. To receive a copy of your submission, please fill out your email address below and submit.