For most regulations, report forms are provided to assist water systems with the implementation of the Rules.  A complete list of the current report forms is provided below:

Consumer Confidence Report Rule

• Consumer Confidence Report Certification Form - 2024​​​​
  
• Consumer Confidence Report Electronic Delivery Plan​
  

• Stage 1 Disinfection Byproduct Rule
• Stage 2 Disinfection Byproduct Rule
  • Disinfection Byproduct Self-Monitoring Report
  • Disinfectant Residual Monitoring Report Form

Ground Water Rule

• Groundwater Rule Monitoring Report Form (Groundwater Systems Only)

Lead and Copper Rule

• Community and Non-Transient Non-Community Water Systems
     Lead and Copper Rule Change of Sampling Site Form
  


• Community Water Systems
     Sample Collection Form for Residential Building
     Lead and Copper Monitoring Report Form
     Lead Water Sample Result Notice 
     Certification of Lead Sample Result Certification Notice 
     Lead Public Education
  
  • Lead Public Education Instructions
  • Lead Public Educational Materials (Template): Important Information about Lead in your Drinking Water
  • Lead Public Education Certification Form
• Non-Transient Noncommunity Water Systems
     Sample Collection Form for Nonresidential Buildings
     Lead and Copper Monitoring Report Form
     Lead Water Sample Results Notice 
     Certification of Lead Sample Result Certification Notice 
     Lead Public Education
  
  • Lead Public Education Instructions
  • Lead Public Educational Materials (Template): Important Information about Lead in your Drinking Water
  • Lead Public Education Certification Form

Phase II and V Chemical Rules (Nitrate, Inorganic, Volatile Organic, and Synthetic Organic)

• Inorganic Self - Monitoring Report
• Inorganic Self - Monitoring Report (fillable pdf)
• Synthetic Organic Self - Monitoring Report
• Volatile Organic Self - Monitoring Report
• Polymer Certification -  Phase II & V Acrylamide & Epichlorohydrin Certification letter
• Water Distribution System Materials Survey

Public Notification Rule

• General Tier 3 Violation Public Notice Form and Certification
  
• Tier 1 Lead Action Level Exceedance Public Notice Instructions, Tools, Templates, Certification, and Other Resources​
  

Radionuclides Rule No report form is available

Surface Water Treatment Rules

• Surface Water Monthly Operating Report as a Macro-Enabled Excel(tm) Workbook
  
• Surface Water Monthly Operating Report as a pdf File

Revised Total Coliform Rule

• Bacteriological Monitoring Report Form - Revised 2016
• Groundwater Rule Monitoring Report Form (Groundwater Systems Only)
• Bacteriological Sample Site Plan for Systems Serving 4900 People and Under
• Start-up Procedures Form (Seasonal Systems)​
  

Unregulated Contaminant Monitoring Rule No report form is available.  Direct implementation by EPA Region III.

Water Supply Program System Survey

• New water systems, or systems that have had a change in the population served by their water system should fill out a Water Supply Program System Survey form.

Electronic Reporting of Monitoring Results

• MDE now has the capability to accept drinking water monitoring results electronically, via EPA's Compliance Monitoring Data Portal (CMDP). Please see the information session video and  training slides for more information.
  

PWS Fact Sheets and Guidance Documents

For More Information
Please contact the Water Supply Program as WATER.SUPPLY@maryland.gov or 410-537-3702
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