Pursuant to California Government Code 50052, I wish to file a claim for unclaimed funds published on the Eastern Municipal Water District’s website.

I hereby certify that the above information is true and correct and is being submitted to Eastern Municipal Water District (EMWD) to substantiate my claim to monies paid to EMWD.  I further certify that I have the authority and right to claim and receive payment of these monies and hereby release EMWD, its Board members, employees, representatives, attorneys and agents from all liability and further obligation with respect to this claim.