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Certification of Delivery of Consumer Confidence Report
GENERAL INSTRUCTIONS: This form shall be completed by all community water systems (CSS) that have
prepared a Consumer Confidence Report (CCR)
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How to fill out alternate certification of delivery

How to fill out alternate certification of delivery
01
To fill out the alternate certification of delivery, follow these steps:
02
Begin by filling out the sender's information, including their name, address, and contact details.
03
Next, provide the recipient's information, such as their name, address, and contact details.
04
Indicate the date of the delivery and the type of item being delivered.
05
Fill in the description of the item, including any relevant details such as size, weight, or special handling instructions.
06
Include the delivery method used, whether it was by mail, courier, or other means.
07
Sign and date the form to certify the accuracy of the information provided.
08
If applicable, obtain the recipient's signature to acknowledge the receipt of the item.
09
Keep a copy of the alternate certification of delivery for your records.
Who needs alternate certification of delivery?
01
The alternate certification of delivery is typically needed by individuals or businesses who want to have proof or evidence that an item was successfully delivered to a recipient. It is often used in situations where there is no official tracking system in place or when additional documentation is required for legal or insurance purposes. Examples of those who may need alternate certification of delivery include online sellers, shipping companies, and individuals sending important or valuable items.
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What is alternate certification of delivery?
Alternate certification of delivery is a process where a party certifies that a document was delivered to another party through a different method than traditional mail or in-person delivery.
Who is required to file alternate certification of delivery?
Any party who wants to ensure proof of delivery of a document may choose to file alternate certification of delivery.
How to fill out alternate certification of delivery?
To fill out alternate certification of delivery, the party must provide details of the document being delivered, the method of delivery, and any relevant tracking information.
What is the purpose of alternate certification of delivery?
The purpose of alternate certification of delivery is to provide proof that a document was delivered to another party in case of disputes or legal issues.
What information must be reported on alternate certification of delivery?
The alternate certification of delivery must include details such as the sender's information, recipient's information, date and time of delivery, method of delivery, and any relevant tracking information.
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