Get Annual Water Quality Report Certification Form - New York State ... - Newyorkhealth

This guide provides a clear and supportive approach to filling out the Annual Water Quality Report Certification Form required by New York State. Proper completion of this form ensures compliance and effective communication of water quality information to the public.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the Annual Water Quality Report Certification Form and open it in the editing tool of your choice.
2. Begin by entering the Water System Name in the designated field. Make sure this name accurately represents your community water system.
3. Fill in the Public Water Supply ID number as assigned to your water system. This number is necessary for proper identification.
4. Confirm the distribution of the Annual Water Quality Report (AWQR) by checking the appropriate method(s) used to notify customers. Choose options such as mailing, hand delivery, or electronic communication.
5. For systems serving at least 100,000 persons, ensure to indicate on a publicly-accessible website where the AWQR was posted.
6. Detail the 'Good Faith' efforts utilized to reach non-bill-paying consumers by selecting applicable methods such as internet posting or delivery to community organizations.
7. Provide the name, title, and phone number of the person certifying the form. This ensures accountability and proper communication.
8. Lastly, enter the date on which the form is being completed. Review all entries for accuracy before proceeding.
9. Once the form is complete, save your changes. You can choose to download, print, or share the completed form as needed.

Submit your Annual Water Quality Report Certification Form online to ensure timely compliance!