Order Water Form Serial Number (required) Your Full Name (First & Last Required) (required) Email Address (required) Phone Number (required) Cell Number (required) Legal Owner of Property (required) Division (required)Fernley West Central East List lateral/takeouts that will be used for this order: Main Lateral (Only Submit One Lateral Per Order!) (required) Takeout 1 (required) Takeout 2 Takeout 3 Takeout 4 Takeout 5 Approximate CFS (required) Approximate Hours (required) Acres Irrigated on this Order (required) Remarks (required) By clicking the SUBMIT ORDER NOW button below, I understand that I am sending a legal and binding water order. There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
