Construction Completion Report Form for Water Systems
This Construction Completion Report Form is essential for purveyors in Washington State as it documents the completion of construction projects. It ensures compliance with the Department of Health regulations and is required before utilizing water system facilities. Submitting the report within 60 days of project completion is crucial for maintaining system integrity.
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How do I fill this out?
Filling out the Construction Completion Report Form is straightforward. Begin by carefully reading the instructions provided on the form and complete every required section diligently. Ensure all necessary signatures and seals from a licensed professional engineer are obtained before submission to the Department of Health.

How to fill out the Construction Completion Report Form for Water Systems?
1
Read and understand the form instructions carefully.
2
Complete all required fields with accurate information.
3
Have the form signed and sealed by a licensed professional engineer.
4
Attach any necessary documentation as specified in the instructions.
5
Submit the completed form within 60 days of project completion.
Who needs the Construction Completion Report Form for Water Systems?
1
Water system purveyors need this file to document completed construction projects.
2
Licensed professional engineers use this form to certify their work on projects.
3
Environmental health officials require the form for regulatory compliance reviews.
4
Contractors utilize this report as a record of project completion.
5
Local governments may need the form for water system facility evaluations.
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What are the instructions for submitting this form?
To submit the Construction Completion Report Form, send it to the appropriate DOH regional office based on your project's location. You can choose to email the completed form, fax it, or mail a physical copy to the office's address. Ensure you retain a copy for your records and follow up with the office if confirmation of receipt is necessary.
What are the important dates for this form in 2024 and 2025?
The key deadlines for submitting the Construction Completion Report Form are typically within 60 days of project completion. For projects completed in 2024 and 2025, ensure to adhere to the submission timeline to avoid potential penalties.

What is the purpose of this form?
The purpose of the Construction Completion Report Form is to provide documentation for water system projects in accordance with Washington State regulations. This form ensures that all construction work is officially recognized and complies with the Department of Health’s guidelines. It is an essential tool for purveyors to maintain standards and safeguard public health.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Water System: The official name of the water system.
- 2. DOH System ID No.: The identification number assigned by DOH.
- 3. Name of Purveyor: The name of the owner or contact for the system.
- 4. Mailing Address: The address for correspondence related to the project.
- 5. Type of Project: Checkboxes for different types of construction projects.
What happens if I fail to submit this form?
Failing to submit the Construction Completion Report Form can result in non-compliance with state regulations. This oversight may lead to penalties, delays in project approval, and potential operational issues with the water system.
- Regulatory Non-compliance: Not submitting the form could result in violations of water system regulations.
- Financial Penalties: Potential fines may be imposed if compliance deadlines are not met.
- Operational Delays: Delays in project use due to unapproved water system facilities.
How do I know when to use this form?

- 1. Construction Completion: To document the completion of any water system project.
- 2. Regulatory Compliance: To ensure adherence to Washington State Department of Health regulations.
- 3. Professional Certification: To have a licensed professional engineer certify the project.
Frequently Asked Questions
What is the purpose of the Construction Completion Report Form?
The form serves to document the completion of construction projects for water systems in Washington State. It ensures that projects comply with DOH regulations.
Who needs to sign the Construction Completion Report?
The form must be signed by a licensed professional engineer who inspected the project.
What deadlines are associated with this form?
The completed form must be submitted within 60 days of project completion.
Can I edit the PDF online?
Yes, you can edit the Construction Completion Report Form easily on PrintFriendly.
How do I submit the completed form?
Submit the form to your designated DOH regional office either via email, fax, or by physical mail.
Is there a fee for submitting this form?
No, submitting the Construction Completion Report Form is free of charge.
What happens if I forget to submit the report?
Failure to submit the report may lead to compliance issues with the Department of Health.
How do I access the form?
The Construction Completion Report Form can be accessed and downloaded from PrintFriendly.
What if I need more information on filling out the form?
You can refer to the instructions provided on the form or consult with a licensed professional engineer.
Can I share the form with others?
Yes, PrintFriendly allows you to easily share the form via email or social media.
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