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Forms: Division of Drinking Water

Electronic Forms


Capacity Assessment

Capacity Assessment Worksheets for Public Water Systems

Can be submitted online.> Print out your form for your records before submitting online. Alternatively, this form can be mailed to our office or faxed to (801) 536-4211, Attn: Nagendra Dev.
Capacity Assessment Worksheets (399 KB)

Financial Information

PDF (22 KB) XLSX (49 KB)

See also Capacity Development Introduction.

Contact Nagendra Dev if you have questions.


Construction of Public Water Systems and Drinking Water Facilities – Plan Review

Application for a New Public Water System

Capacity Evaluation – Source and Storage

Hydraulic Modeling

Operating Permit

Plan Review Checklists

Plan Review – Other Documents

Seasonal Start-up

Source Development

Water Line Installation Standards

Water Hauling


Data Locations Submittal

Location Data for Public Water Systems

Can be submitted online by clicking the Submit Form button in Adobe Acrobat (Reader or Pro versions). Note: open the PDF in Adobe Acrobat directly.  Alternatively, this form can be mailed to our office or faxed to (801) 536-4200.
Data Locations Form (40 KB)

Contact Mark Jensen with questions.


Deficiency Reporting (Sanitary Survey)

IPS Deficiency Correction Notice

Email, mail, or fax to us:  DDWIPS@utah.gov or fax to (801) 536-4211, Attn: Jennifer Yee.
Deficiency Reporting Form (239 KB)

Adobe Reader Users Fill out the form, select the “Submit by Email” button, and Email the xml file to DDWIPS@utah.gov (using the Wizard to create the xml file). Note: If you are using the Chrome browser, the Adobe Reader plug-in won’t work. Use Internet Explorer or open the PDF in Adobe Reader directly. Adobe Pro Users Fill out the form, save the PDF, then Email the PDF file to DDWIPS@utah.gov.
See also Sanitary Survey.

Contact us at DDWIPS@utah.gov with questions.


Disinfection By-Products (DBP) Rule

The EPA has a Quick Reference Guide available for Stage 2.


Operator Certification

  • To Update Contact Info: For operators and water systems. If you have a new phone number, email address, or have recently moved, use this form to let us know how best to reach you. We require written notification of contact info changes. Reach us at (801) 536-4200 to get started.

Financial Assistance

SRF Application

A combined form in MS Excel for both State and federal SRF; Email to DDW once complete.
Application Form (498 KB)

Division of Water Resources Conservation Program

To receive funding, a water management and conservation plan must be submitted.
Conservation Plans

EPA/WBE Utilization Under Federal Grants and Cooperative Agreements

Utilization under federal grants, cooperative agreements, and interagency agreements form.
EPA MBE/WBE Form (604 KB) Requirements (403 KB)

Pre-Award Compliance Review Report

For all applicants requesting federal financial assistance.
Pre-Award Compliance Review Report (249 KB)

State Revolving Fund | Drinking Water Board Schedule

To present a project to the Utah Drinking Water Board in a particular month, certain deadlines apply.

State Revolving Fund Drinking Water Board Schedule (48 KB)

See also Construction Assistance.


GRAMA Information Requests

See Records Request.


Groundwater (GW) Rule


Lead and Copper Sampling


Public Notification

See Public Notification Templates.


Source Protection

If you have an updated source protection plan to prepare, the following links for a template and for waiver forms to use to reapply for Use and Susceptibility Waivers are available:


Water Treatment Facilities (Operational Reports)

For complete treatment plants: