Electronic CCR Distribution Application
How are you distributing CCRs electronically? *
Check ALL that apply
Required
What is your strategy to reach non-bill paying customers? *
Your answer
What is the URL of Electronic CCR?
Your answer
Your Name
Your answer
Your System Number
Your answer
Your System Name
Your answer
Contact Phone Number
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Contact Email
Your answer
Please Check Mark that You Understand That Using Electronic Delivery You Accept to Report the Number of Web Hits to the CCR Web-Page to the Division of Drinking Water by December 31st, 2017
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