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The Cross Connection Annual Summary Report is a requirement for all community water systems in Oregon with 15 or more connections. 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
There are two Options for completing the 2018 Cross Connection Annual Summary Report. Please only select 1 of the options below.
2017 Annual Summary Report - Fillable
Note: The survey monkey version is not available this year. We apologize for the inconvenience.
2016 Annual Summary Report - Fillable
2015 Annual Summary Report - Fillable
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