There are circumstances that require Public Water Systems to provide language translations when posting Consumer Confidence Report (CCR), Public Education (PE), and Public Notice (PN) announcements.  See Requirements For Language Translations for details.
- This page, Public Notification Forms and Templates, is offered by
- Massachusetts Department of Environmental Protection
Public Notification Forms and Templates
For Massachusetts' public drinking water systems.
Table of Contents
Certification Forms
Open PDF file, 189.19 KB, for
Public Notification Certification Form for Tier 1-3 violations
(PDF 189.19 KB)
Open DOCX file, 144.39 KB, for
Public Notification Certification Form for Tier 1-3 violations
(DOCX 144.39 KB)
Open PDF file, 17.26 KB, for
Manganese Certification Form for Public Notice of a Manganese Health Advisory
(PDF 17.26 KB)
Open DOC file, 62 KB, for
Manganese Certification Form for Public Notice of a Manganese Health Advisory
(DOC 62 KB)
Tier 1 Templates
Open DOC file, 225.5 KB, for
PN Tier 1 Template: GWR 4-log
(DOC 225.5 KB)
Tier 2 Templates
Tier 3 Templates
Templates for Non-Community Public Water Systems
Templates for Water Treatment
Public Education Templates
Feedback
Survey
Thanks, your survey has been submitted to the Mass.gov team!
If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site.
Join user panel