REPORT OF WATER RIGHT CONVEYANCE
USE THIS CONVEYANCE REPORT FORM WHEN 100% OF THE WATER RIGHT IS CONVEYED.

Enter the Water Right number and click the "Get Water Right Info" button to verify pending change applications, non-use status, and grantor information.
Fill out this form, and then click the button to generate the printable form
, then print the ROC 100% form from the resulting .pdf file.
If you would like to print a blank ROC 100% form, simply leave the water right number field blank, and click the button to generate the printable ROC form.
If you leave the water right number field blank, a blank ROC form will be produced.

The Adobe reader is required to print the ROC form. It can be acquired at the following link.

 
 
Water Right Number :  
 
Pending Change Applications : N/A
Under Non-Use : N/A
SECTION A. - CONVEYANCE SUMMARY #1
If no water right number is mentioned on deed, is a map attached? Yes No  
1. Deed Type :
Other Description
2. Date Signed :    Date Recorded :   
Book Number : Page Number :
Entry Number :
3. Grantor(s) :
4. Grantee(s) :
5. Mailing Address :
6. E-mail Address :
7. Special Conditions/Information of Conveyance :
SECTION B. - CERTIFICATION
I, , certify that I am authorized by Administrative Rule R655-3-7 to complete this report, and the information herein or attached hereto is true and accurate to the best of my knowledge.
Date :          Phone Number :
FOR LICENSED PROFESSIONALS ONLY

I, , certify that I am licensed as
in the State of Utah, that my license number is , that I was retained by an owner of the water right to prepare or supervise the preparation of the Report of Conveyance; that the report is true and accuate to the best of the preparer's knowledge; that an appropriate search of County Records has been made and that the attached documents evidence the ownership interest of the grantee.
Date :          Phone Number :
Address :
This report is not a title opinion based on the title search made.
It does not warrant or guarantee title to water rights.
This report was prepared for the purpose of updating records of the Division of Water Rights.
INSTRUCTIONS
There are five steps to this Report of Conveyance (ROC) form.

  1. Enter the Water Right number
  2. Click the "Get Water Right Info" button to verify pending change applications, non-use status, and grantor information
  3. Fill out this online form with all pertinent information.
  4. Click the "Generate Official ROC Form" button (found at the top right corner of the form).
  5. Print the resulting .pdf form.

The form on this page is for data input only, and is not intended to be accepted as the official form.

The Division of Water Rights will NOT accept a screen print of this data input form as an official ROC form.

You must fill out this form AND THEN CLICK THE "GENERATE THE OFFICIAL FORM" button to produce this form.