Certificate of CCR Delivery Forms

Links to forms for each type of community water system (small or large; violations or not) to certify to the TCEQ that the latest CCR has been delivered to customers as required. Forms available as MS Word or PDF files.

All community water systems must certify by July 1 of each year to the Texas Commission on Environmental Quality that they have provided the Consumer Confidence Report (CCR) to their bill-paying customers and non–bill-paying consumers by the July 1 deadline.

For systems less than 500 in population with no violations: Notify your customers through direct delivery that the completed CCR is available upon request by July 1, 2011. This includes making a good faith effort to inform consumers who do not receive a water bill that the CCR is available. You do not need to send out the complete report unless requested, but you do need to send the notice. Recommended notice language will be mailed to all water systems that were eligible for this waiver, or you can e-mail PWSCCR@tceq.texas.gov for eligibility status. The notice language is also available online here.

Small Systems (<500 Population) with NO VIOLATIONS

All Other Systems

Return 1 copy of this completed form and 1 copy of the CCR that you delivered to your customers to:

CCR Program Coordinator
Public Drinking Water Section—Mail Code 155
Texas Commission on Environmental Quality
PO Box 13087
Austin TX 78711-3087

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