Get Or Ccr Certification Form 2023-2025

This guide provides expert instructions on completing the OR CCR Certification Form online, ensuring your community water system complies with certification requirements. Follow these steps to efficiently fill out and submit your form accurately.

Follow the steps to complete the form seamlessly.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the community water system name in the provided field. Ensure that this name matches the registered system name.
3. Input the calendar year for which the report applies. This should reflect the most recent calendar year.
4. Enter the PWS ID No: 41-. This number is unique to your public water system and can be found on previous correspondence with your health authority.
5. In the confirmation statement, affirm that the Consumer Confidence Report has been distributed to customers, ensuring that appropriate notices of availability have been given.
6. Fill out the title of the person certifying the report in the designated field below the confirmation statement.
7. Enter the name of the CCR certified by in the provided space. This should be the name of the person responsible for the report's accuracy.
8. Provide a phone number where this person can be reached for any questions regarding the CCR.
9. Input the date the CCR was certified, using the date format MM/DD/YYYY.
10. Specify the date the CCR was distributed to customers, again following the MM/DD/YYYY format.
11. Check all applicable items in the CCR Delivery Certification section, indicating the methods used for distribution.
12. If using electronic delivery methods, check the relevant box and describe how customers can request a paper copy.
13. List the locations where the CCR is posted publicly, if applicable, to ensure compliance and visibility to the community.
14. Review all entries for accuracy to ensure that all required information has been provided correctly.
15. Finally, save your changes, and download, print, or share the form as needed.

Complete your OR CCR Certification Form online today for timely submission.