Bottled Water Request Form
Central Basin Municipal Water District implemented a Bottled Water Donation Program (Program) to further the District's ongoing outreach efforts throughout our service area. Distribution of bottled water was identified as a cost-effective way of promoting public interest and awareness while providing a service to the community.
The purpose of this policy is to define guidelines and procedures for external requests for bottled water.
All external requests will be forwarded to the External Affairs Department. A request form will be completed by the group/individual making the request. The completed form will be submitted to the External Affairs Department for Manager approval. Upon approval, the Board will be notified and arrangements will be made with the requesting party to schedule a pick up.
For external requests to be considered, the following criteria are required:
Bottled water requests considered by the District must be made by non-profit, secular organizations located within Central Basin's service area and for events held within Central Basin's service area. Central Basin's service area consists of the following cities:
Division I: Bell Gardens, Downey, Montebello, Pico Rivera, West Whittier-Los Nietos, and unincorporated areas of Los Angeles County
Division II: La Habra Heights, La Mirada, Norwalk, Santa Fe Springs, Whittier and South Whittier
Division III: Bell, Commerce, Cudahy, Huntington Park, Maywood, Walnut Park,Vernon, portions of Monterey Park and unincorporated areas of East Los Angeles
Division IV: Lynwood, South Gate, Florence-Graham, Willowbrook, portions of Compton and Carson
Division V: Artesia, Bellflower, Cerritos, Hawaiian Gardens, Lakewood, Paramount and Signal Hill
The bottled water will not be provided for political, partisan, electoral or socially controversial gatherings;
Water is donated at no cost to the requesting party, and this water cannot be sold or used for any other event/purpose than the one specified on the request;
Quantities are limited and requests are fulfilled based on availability and on a first-come, first-serve basis;
All water is supplied at room temperature, and it is the responsibility of the requesting party to provide necessary means for chilling water. Water is supplied in 12 fl ounce bottles (355 mL) with flat screw caps. There are 24 bottles per case. The water must be stored indoors prior to use;
Central Basin will determine the number of cases provided based on expected attendance, allowing no more than one bottle of water per person. Each organization may receive a maximum of 10 cases of water per event. Water is limited to 10 cases per event, and not to exceed 30 cases per organization per fiscal year. District Directors may receive 1 case of water per month; not to exceed a maximum of 12 cases per fiscal year, to distribute at community events and/or meetings. The District reserves the right to provide less than the full amount of water requested;
In the case that Central Basin is the host or an exhibitor at an organization’s event, more than the maximum cases may be approved;
Request should be made a minimum of four weeks prior to the event;
Requests made by organizations and Central Basin representatives (including staff and Directors) require submitting a completed Bottled Water Request Form to Central Basin along with event flyer/letter. The form is available on Central Basin's website at
. A copy may also be obtained by calling (323) 201-5500, or picked up at Central Basin Municipal Water District, 6252 Telegraph Road, Commerce, CA 90040, between the hours of 9:00 a.m. and 4:00 p.m., Monday thru Friday. Fax completed form along with a flyer/letter of the event to (323) 201-5550;
Upon approval of the request, Central Basin will contact the organization to arrange a date and time for the organization to pick up the water. Scheduled times will be arranged within the limitations of Monday- Friday 9:00 a.m. - 4:00 p.m. Central Basin is not responsible for a missed scheduled pick up;
Pick up and transportation of the bottled water are the responsibility of the requesting organization. It is the responsibility of the requesting organization to bring appropriate transportation, staff and necessary equipment to safely transport the water. Central Basin is not responsible for any damage to vehicles, persons or otherwise during the transportation and pickup of water; and
In the best interest of the environment, groups/organizations requesting bottled water should provide waste storage containers at the event and are encouraged to recycle the plastic bottles.
Page 1 of 5
Never submit passwords through Google Forms.
This form was created inside of CENTRAL BASIN MUNICIPAL WATER.