Data Request Form

MN Source Water Protection Tracking Program

If you are looking for private well information, such as sealing records, well disclosures, or water quality data, please contact Health.wells@state.mn.us rather than using this form. Thank you.

* = Required

Organization requesting data access*
Format: mm/dd/yyyy

Select all data below you are asking for and complete additional questions for each selection before submitting this form.

What data are you asking for?*
If you don't know, choose "Other" and complete additional questions.