Get Mo 780-2016 2011-2026

Filling out the MO 780-2016 form is essential for reporting low water pressure events as required by Missouri Public Drinking Water Regulation. This guide provides a clear and structured approach to help you complete the form accurately and efficiently online.

Follow the steps to complete your MO 780-2016 form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the system name in the designated field to identify the public water system reporting the low pressure event.
3. Input the PWS ID# (Public Water System Identification Number) to provide official identification for the reporting system.
4. Fill in the date reported to ensure accurate record-keeping.
5. Select the county where the public water system is located, as this helps in jurisdiction handling.
6. Indicate who is reporting the issue in the ‘Reported By’ field to establish accountability.
7. Describe the nature of the problem, detailing any observed issues caused by low water pressure.
8. Record the lowest pressure reading (in PSI) noted during the event to inform the department of the severity.
9. Specify the duration of low pressure experienced, including hours and minutes for proper assessment.
10. Document the date and time when the problem began to create a timeline for the issues reported.
11. Count the number of services affected by the low pressure to understand the impact of the event.
12. Describe the location and area affected, providing sufficient details to aid in understanding the scope of the issue.
13. Detail any corrective action taken in response to the low pressure event.
14. Enter the date and time of customer notification to demonstrate compliance with notification requirements.
15. Select the method of customer notification, and if it was done via hand delivery, attach a copy of the notice.
16. Finally, certify the information by providing your signature and the date to confirm accuracy.
17. Save your changes, and if necessary, download, print, or share the completed form for submission.

Take action now to report low water pressure events by completing the MO 780-2016 online.