Publications Home || Browse by topic || Browse by program || Ecology website

Form Summary

Our Ecology website has changed, which can cause broken links.
To report these, please contact us with the publication and broken link.


Water Conservancy Board Application For Change/Transfer Record Of Decision

Form number Date Published Date Revised
ECY 040-105 March 2003 February 2023
VIEW NOW Water Conservancy Board Application For Change/Transfer Record Of Decision (Number of pages: 2) (Publication Size: 236KB)

Microsoft Word format (Publication Size: 78KB)

Trouble viewing? Try these free options.
Description This form is used by water conservancy board commissioners to record the individual vote of the board commissioners and document the conclusion reached by a board on a water right change application. The record of examination form (040-106) is integral in detailing the how this conclusion is reached.
REQUEST A COPY The mission of the Department of Ecology is to protect, preserve, and enhance Washington’s environment. To help us meet that goal, please consider the environment before you print or request a copy.

ADA Accessibility
The Department of Ecology is committed to providing people with disabilities access to information and services by meeting or exceeding the requirements of the Americans with Disabilities Act (ADA), Section 504 and 508 of the Rehabilitation Act, and Washington State Policy #188.
Visit Ecology’s website for more information
Contact Water Resources Program at 360-407-6872 or
Keywords Conservancy board form, Water Resource form, Official Ecology Form
WEB PAGE Water Conservancy Boards

Water Conservancy Board Training Credit Request Form

Assignment of Application or Permit to Appropriate or Store Water

Water Conservancy Board Application For Change/Transfer Report Of Examination To Appropriate Public Waters Of The State Of Washington