Certified Operators Forms

Consumer Confidence Reports Forms

  • Consumer Confidence Report Certification  doc format of Consumer Confidence Report Certification
pdf format of                             Consumer Confidence Report Certification

    Community water systems use this form to certify to MassDEP that their annual Consumer Confidence Reports have been distributed in accordance with the provisions of the Massachusetts Drinking Water Regulations.  Rev. February 2016.

Cross Connections Forms

Distribution System Modifications Forms

Emergency Response Forms

General / Administration Forms

  • Contact Information / Notification Registration Form  pdf format of Contact Information / Notification Registration Form
doc format of                             Contact Information / Notification Registration Form

    Use this form if you need to update your contact information with the MassDEP Drinking Water Program (DWP).  You may also use this form if you are interested in subscribing, or unsubscribing, to DWP email and autodialer notifications, as well as any of our electronic newsletters.  Rev. October 2015.

Ground Water Rule Forms

Ground Water Under the Direct Influence of Surface Water (GWUDI) Forms

Laboratory Analytical Forms

Lead and Copper Forms

Lead Service Line Replacement Program Forms

Monitoring Waivers Forms

Monthly And Daily Reporting Forms

New Source Approvals Forms

New Technology Approvals Forms

Public Water System Modifications Forms (Land, Source, or System)

Source Protection Forms

Statistical Reporting Forms

Underground Injection Control Forms

Vending Machines Forms

Water Management Act Forms

  • Water Management Act Forms

    Water Management Act withdrawal permits, reporting, seasonal demand management plans, water audits, and water conservation forms.

Water Treatment Plants Forms

Well Drillers Forms

  • Well Completion Report Request  doc format of Well Completion Report Request
pdf format of                             Well Completion Report Request

    Form to request a copy of a Well Completion Report.  Rev. August 2010.

  • Well Completion Report Correction & Change Request  doc format of Well Completion Report Correction/Change
pdf format of                             Well Completion Report Correction/Change

    Request to change information on a previously submitted Well Completion Report.  Rev. March 2012.

  • Well Driller Recertification

    Renewal letters are sent to MassDEP registered drillers near the end of October each year. The completed form and fee for renewal and rig renewal (if any) needs to be received by the end of the calendar year. Registrations run from January to December. If you are a driller not previously certified in Massachusetts, please contact Steve Hallem at 617-292-5681 or by email to stephen.hallem@state.ma.us.

Well Drillers Forms - eDEP Online Filing

Zone 2 Determinations Forms