Skip to main content
Oregon.gov Homepage

Annual Summary Reports

The Cross Connection Annual Summary Report is a requirement for all community water systems in Oregon. Community water systems must report the requested information on their cross connection control programs each year to the Oregon Health Authority on the forms provided below.

The Annual Summary Report is due each year by March 31

2017 Annual Summary Report

The 2017 Annual Summary Report will be available January 2018.


2016 Annual Summary Report

PDF icon2016 Annual Summary Report - Fillable PDF


2015 Annual Summary Report

PDF icon2015 Annual Summary Report - Fillable


2014 Annual Summary Report

PDF iconAnnual summary report form for systems with 300 or more connections

PDF iconAnnual summary report form for systems with fewer than 300 connections

Your browser is out-of-date! It has known security flaws and may not display all features of this and other websites. Learn how

×