PFAS TAP: updates, testing, and filter application form
All PFAS TAP forms are now in one place for your convenience. Please complete the form below if you would like to take one or more of the following actions:
  1. Sign up for PFAS TAP updates - Communications on topics such as news about the PFAS TAP expansion, upcoming public meetings, and PFAS TAP results in your community
  2. Apply for free PFAS well testing
  3. Apply for a free filter that removes PFAS and other common well contaminants.
Learn more about the PFAS Testing and Assistance Program (PFAS TAP) by visiting our webpage. If you need assistance completing this form, please email cdphe_pfas-tap@state.co.us or call 303-906-8052.

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Please select which form you would like to complete. *
All PFAS TAP testing and filter applicants will receive PFAS TAP updates via email. If you choose to unsubscribe from PFAS TAP updates, you will still receive necessary information about your application, results, and community.
First name *
Last name *
Email
Phone number (format: 2345678901)
PFAS TAP testing applicants: We will use your phone number to help you locate your test kit if it becomes lost or arrives damaged.
Preferred method of contact
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What county in Colorado do you live in? *
If you live out of state, please select "Other / Out of state". Note: Participation in PFAS TAP is open to private well users in the state of Colorado only. 
How did you find out about PFAS TAP? Select all that apply. *
Please provide details about where you found out about PFAS TAP in the "Other" field.
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Dieses Formular wurde bei State.co.us Executive Branch erstellt.

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