Maine.gov

Division of Environmental and Community Health

Maine Center for Disease Control & Prevention

A Division of the Maine Department of Health and Human Services

DHHSMeCDCEnvironmental and Community HealthDrinking WaterCompliance & Enforcement →Fillable Consumer Confidence Reports

Fillable Consumer Confidence Report (CCR)

 

CCR Generator

For example: ME0090030

It appears your browser does not support JavaScript. Please contact the Drinking Water Program to get your file.

Phone: (207) 287-2070

Note: Acrobat Reader is required to use the fillable (PDF) CCR. Insert (type) information at blank lines/fields, then print and/or save the final form.

 

New for Consumer Confidence Reports due July 1st

  • Per rule, CCRs must be distributed and a copy submitted to the DWP by July 1st
  • Systems must inform consumers of where they can access Lead Service Line Inventories. Blank fields to enter this information are under the Lead & Copper section of the templates. If you are using a URL (web address), it must be direct.
  • Please be sure to use the updated certification form attached to your CCR template. Older certification forms will not be accepted.

Please refer to Tips for Submitting Consumer Confidence Reports (CCRs) and Certification Forms for more information.

 

Due Dates

  • April 1st:  Wholesale systems must provide CCR data to their receiving systems for inclusion in their CCR.
  • July 1st:  CCR must be distributed to customers and a copy must be submitted the DWP at DWPMOR@maine.gov or by mailing to the address on the certification form.
  • October 1st:  Deadline to submit a completed certification form to DWPMOR@maine.gov or by mailing to the address on the form.

Note: We encourage systems to submit their certification form when they submit their CCR to the DWP to ensure all deadlines are met. Early submittal of your CCR and certification form allows DWP staff time to review for any issues and possibly prevent a violation.

 

CCR Template

Create your CCR by typing your PWSID into the CCR template generator at the top of this page. Please fill in all blanks as these fields are required. Enter N/A for any fields that do not apply to your system. Save your final form.

These templates are created by the DWP and contain all required data for your water test results, violations, and health information. Distributing the DWP template to consumers is the best way to ensure your CCR is in compliance.  Should you choose to use the template to create a report of your own design, all elements contained in the template are required. You may choose to add additional information or distribute the DWP template CCR in addition to your own formatted report.

 

Certification Form

The last page of the Fillable CCR is a certification form that must be completed and submitted to the DWP. It is due October 1, however, you may want to submit your certification form with a copy of your CCR to the DWP to ensure all deadlines are met. The form certifies when and how the CCR was distributed to consumers and that the information in the distributed CCR agrees with the information supplied by the DWP. If your system decides to generate a unique CCR, you must still submit a completed Certification Form.

 

Please direct any questions you may have about CCRs to DWP Rules Specialists Amanda BrazeeEmail or phone (207) 592-1640; or Courtany HanleyEmail or phone (207) 592-2168.

Updated 3/25/2025