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Lead Water Service Replacement Loan Program Loan Application Form Shaded areas are for office use only Application NumberApplication Date Received CSC ApprovalProperty Tax Roll NumberApplicant Information: Applicant

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How to fill out priority lead water service

01

Step 1: Contact your water utility to determine if you qualify for priority lead water service

02

Step 2: Fill out the necessary paperwork provided by the water utility

03

Step 3: Provide any required documentation to support your request

04

Step 4: Follow up with the water utility to ensure your application is processed

Who needs priority lead water service?

01

Priority lead water service is needed by individuals living in areas with a high risk of lead contamination in their water supply

02

Those who have young children or pregnant women in their household may also benefit from priority lead water service

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What is priority lead water service?

Priority lead water service refers to a designated service that must be given priority attention due to the presence of lead in the water supply.

Who is required to file priority lead water service?

Any entity or individual responsible for a water system that has been identified as having lead in its water supply must file priority lead water service.

How to fill out priority lead water service?

Priority lead water service can be filled out by providing detailed information about the water system, testing results for lead levels, and any actions taken to address the issue.

What is the purpose of priority lead water service?

The purpose of priority lead water service is to ensure that proper attention and resources are allocated towards addressing lead contamination in the water supply.

What information must be reported on priority lead water service?

Information such as water system details, lead testing results, remediation efforts, and future prevention plans must be reported on priority lead water service.

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