Drinking Water Permits, Forms, and Templates
Find drinking water permit applications, reporting forms, and templates.
Table of Contents
Autodialer & Contact Information
Certified Operators Forms
Consumer Confidence Reporting Forms & Templates
Cross Connections Forms
Distribution System Modifications Forms
Emergency Response Forms
Ground Water Rule Forms
Ground Water Under the Direct Influence of Surface Water (GWUDI) Forms
Laboratory Analytical Forms
Open DOC file, 122.5 KB, for
Asbestos Report
(DOC 122.5 KB)
Open DOC file, 231 KB, for
Bacteriological Report
(DOC 231 KB)
Open DOC file, 94 KB, for
Bromate Report
(DOC 94 KB)
Open DOC file, 94 KB, for
Bromide Report
(DOC 94 KB)
Open DOC file, 121 KB, for
DBPR TT Compliance Report
(DOC 121 KB)
Open DOC file, 130 KB, for
Haloacetic Acids Report
(DOC 130 KB)
Open DOC file, 119.5 KB, for
Inorganic Contaminant Report
(DOC 119.5 KB)
Open DOC file, 118.5 KB, for
Nitrate Report
(DOC 118.5 KB)
Open DOC file, 118.5 KB, for
Nitrite Report
(DOC 118.5 KB)
Open DOC file, 98 KB, for
Perchlorate Report
(DOC 98 KB)
Open DOC file, 116 KB, for
Radionuclide Report
(DOC 116 KB)
Open DOC file, 118.5 KB, for
Sodium Report
(DOC 118.5 KB)
Lead and Copper Forms & Templates
Monitoring Waiver Forms
Monthly and Daily Reporting Forms
New Source Approval Forms
New Technology Approvals Forms
Public Notification Forms & Templates
Public Water System Modifications Forms
Source Water Protection Forms & Templates
Statistical Reporting Forms
Underground Injection Control Forms
Vending Machines Forms
Water Management Act (WMA)
Water Treatment Plant Forms
Well Drillers Forms
WIIN Act
Open DOCX file, 342.53 KB, for
WIIN Template A
(DOCX 342.53 KB)
For households where the public water system's 90th percentile level in their most recent sampling round is below the action level and the household's lead sample result is greater than 15 ppb.
Open DOCX file, 343.87 KB, for
WIIN Template B
(DOCX 343.87 KB)
For households where the public water system's 90th percentile level in their most recent sampling round and the household's lead sample results are greater then 15 ppb.
The Confirmation Form is for public water system (PWS) to confirm distribution of the required information to EPA, MassDEP, and the Local Board of Health.