Reports, Templates & Fact Sheets
To download, simply right click on the file of your choice and choose "save target as" and choose a location on your hard drive or network to save the file. The files are in either MS Word 97-2000 or MS Excel 97-2000 formats.
Please note that all formulas in the operators reports and spreadsheets should be checked manually to insure proper calculations before submitting. Also, users of all forms should check with their New York State Department of Environmental Conservation and/or local health department representatives and have these individuals approve use of such forms. The New York Rural Association, Inc. will not be liable for any errors on the forms below.
Standard Operating Procedures (SOP's)
Public Health Law Documents (Links are directed to files on NYSDOH website)
Water Reports (Links are directed to files on NYSDOH website)
- Water Systems Operation Report - Microbiological Sample Results (Excel, 58Kb)
- Water Systems Operations Report (Excel, 57Kb)
- Water System Operation Report - For Use by Public Water Systems that Treat with Chlorine and/or Fluoride (Excel, 58Kb)
- Application for Renewal of Certification DOH352
Wastewater Operator Reports 
- NYSDEC Operators Report (using an average for loadings)
- NYSDEC Operators Report (using a flow weighted average for loadings)
- NYSDEC Fast Report on Significant Industries (FROSI)
- NYSDEC Applicator/Technician Pestiside Annual Report
- Sanitary Sewer Overflow Emergency Response Plan
- Part 750
Wastewater Programs
Water Programs 
Annual Water Quality Report Templates (Links are directed to files on NYSDOH website)
- Annual Water Quality Report Template for Fewer than 1,000 Connections
- Annual Water Quality Report Template for 1,000 or More Connections
- Annual Water Quality Report Guidance
Stage 2 Disinfection Byproducts Rule Templates 
- Check list for systems that do not purchase water
- Check list for systems that purchase some or all of their water
PR / News Templates for Utility Use 
- Water Week Release for Utilities
- Drinking Water Makes the Grade
- A Drink Tomorrow May Depend On Efforts Today
- Water System Adopts New Theme
- Twenty-Four Hour Security Assures Town
- Water System Does Self-Assessment
- Water Rates Expected To Rise
- Smoke Testing
Fact Sheets
- The Impact of Sump Pump Flows Fact Sheet
- Wastewater Treatment Plant Coverage Fact Sheet
- Wastewater Treatment Plant Operator Fact Sheet
CDX/NetDMR Screenshot Guidance 
- Creating a New CDX/NetDMR Account
- How to access NetDMR from CDX
- How to add DMR attachments
- How to add DMR Notifications
- How to enter DMR Data
- How to change CDX Profile
- How to update your Security Questions in NetDMR NetDMR Support Portal (3)
SWAP - Legislative Campaign Documents
Sample Request for Support Letter
America's Water Infrastructure Act: Risk Assessments and Emergency Response Plans
EPA’s resources for completing Risk and Resilience Assessments:
- Baseline Information on Malevolent Acts for Community Water Systems
- Vulnerability Self-Assessment Tool
- Small System Risk and Resilience Assessment Checklist
EPA’s resource for completing ERPs:
- Emergency Response Plan Template and Instructions
- How to Certify Your Risk and Resilience Assessment or Emergency Response Plan
- AWIA Frequently Asked Questions Document
- AWIA Risk Assessment and Emergency Response Plan Requirements Fact Sheet
Lead Service Line Inventory:
- Tier 1 Action Level Exceedence (ALE) Public Notice Template
- Notification Templates - LSL GSLRR unknown SL (1)
- Notification Template - Tap sample Results (1)
- Instructions for Submitting LSLI - To NYSDOH
- NYS Guidance for Complying with the LCRR (1)
- Certification - Delivering Public Education after Pb ALE
- Certification - for delivering Public Notification
- Certification - delivering Service Line material Consumer Notice
- Certification - Consumer Notice of Tap Sample Results
- NYSDOH LSLI Template v 1.0_max. 500 SL
- NYSDOH LSLI Template v 1.0_max.5,000 SL
- NYSDOH LSLI Template v 1.0_max.20,000 SL
- NYSDOH LSLI Template v 1.0_max.50,000 SL
- NYSDOH LSLI Template v 1.0_max.120,000 SL