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Click ‘Get Form’ to open the Withdrawal Agreement in the editor.
Begin by entering the Statement of Claim Number at the top of the form. This number is essential for identifying your specific withdrawal request.
In the section labeled 'Statement Signed by Owner', ensure that all water right co-owners sign the document. Each owner must declare their authority to sign on behalf of themselves or their entity.
Fill in the 'Date Signed' field next to each signature. This date should reflect when each owner signs the agreement.
If additional signatures are required, attach DNRC’s Withdrawal Agreement form as instructed and ensure all owners are listed.

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