Partnership for Safe Water Treatment Program

Partnership For Safe Treatment Subscription (Jan 2026 Version)

PART 1: DRINKING WATER TREATMENT UTILITY INFORMATION

Primary Contact Information

Secondary Contact Information

Billing Contact Information

Billing Contact Address

Billing Contact Address

(if different from utility address)

Additional Contacts to add?

Additional Contact Information

Additional Contact

plus1 Add Additional Contact minus1

PART 2: PLANT INFORMATION

Additional Plants

(optional)
Plant Process Type:
plus1 Add Additional Plant minus1
How did you hear about the Partnership for Safe Water?

Regulatory Compliance

Utilities enrolled in the Partnership for Safe Water must be in full compliance with applicable health-based regulations for at least the preceding 6 months. Please check the box below to confirm that the plant(s) you are enrolling satisfies this requirement and that you agree to notify the Partnership within one month of receiving a notice of violation.

Partnership for Clean Water

Partnership For Clean Water Subscription (Jan 2026 Version)

PART 1: WASTEWATER TREATMENT UTILITY INFORMATION

Primary Contact Information

Secondary Contact Information

Billing Contact Information

Billing Contact Address

Billing Contact Address

(if different from utility address)

Additional Contacts to add?

Additional Contact Information

Additional Contact

plus1 Add Additional Contact minus1

PART 2: PLANT INFORMATION

Additional Plants

(optional)
Facility Type:
plus1 Add Additional Plant minus1
How did you hear about the Partnership for Safe Water?

Commitment to Optimization

Checking the box below indicates that wastewater utility staff are committed to optimization. Staff intend to apply Partnership for Clean Water principles to make operations and performance improvements using a collaborative team approach to optimize plant performance.

Regulatory Compliance

Utilities enrolled in the Partnership for Clean Water must be in full compliance with applicable NPDES or Clean Water Act requirements (excluding monitor and report requirements) for at least the preceding 6 months. Please check the box below to confirm that the plant(s) you are enrolling satisfies this requirement and that you agree to notify the Partnership within one month of receiving a notice of violation.