Get Initial Certification Form

This guide provides a step-by-step approach to filling out the Initial Certification Form online. Designed to assist all users, this comprehensive overview will help ensure your form is completed accurately and according to specified guidelines.

Follow the steps to complete the Initial Certification Form efficiently.

1. Click ‘Get Form’ button to access the Initial Certification Form and open it in your preferred online editor.
2. Begin by filling out the System Information section. Provide the Public Water System (PWS) name, type, identification number, and contact details such as city or town, mailing address, telephone number, fax number, and email address.
3. In the Certification section, confirm that you are authorized to complete this form. Sign and date the form where indicated, and print your name below the signature line.
4. Proceed to the Regulatory Checklist, where you will identify which category your PWS fits into. Complete only the section relevant to your system's classification.
5. If your system serves 1,000 persons or greater and is categorized as a Community Water System (CWS) or Non-transient Non-community Water System (NTNC), proceed to complete the Vulnerability Assessment (VA) and Emergency Response Plan (ERP) sections. Ensure to answer all questions and provide necessary details.
6. If your system serves less than 1,000 persons or does not belong to CWS or NTNC categories, proceed to complete the Priority Measures section. Again, make sure to provide all required information.
7. After filling out the necessary sections, review the entire form to ensure accuracy and completeness. Save your changes to avoid losing any data.
8. Finally, you can download, print, or share the completed form as needed according to your organizational requirements.

Complete your Initial Certification Form online today for a seamless process.