Emergency water trucking (EWT) is typically a short-term, life-saving intervention that is used to cover interruptions in water service or access to sufficient quantities of water to meet survival requirements. While playing a legitimate part in response when used appropriately, emergency water trucking often plays a very different role, as a coping mechanism in the daily lives of a large percentage of the population. EWT has become an almost yearly humanitarian intervention among aid organizations. This document describes when and how EWT should be used to meet the needs of the water scarce community.