DOH Form 331-457 Cross-connection Control Program Backflow Incident Report Form - Washington

What Is DOH Form 331-457?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DOH Form 331-457?
A: The DOH Form 331-457 is the Cross-connection Control Program Backflow Incident Report Form in Washington.

Q: What is the purpose of the form?
A: The purpose of the form is to report backflow incidents in the Cross-connection Control Program.

Q: Who needs to fill out this form?
A: This form needs to be filled out by individuals or entities who have experienced a backflow incident.

Q: Is the form specific to Washington?
A: Yes, this form is specific to Washington state.

Q: What information is required on the form?
A: The form requires information such as contact details, description of the incident, and details about the backflow prevention device.

Q: Who should I contact for questions about the form?
A: For questions about the form, you should contact the Washington State Department of Health.

Q: What happens after I submit the form?
A: After you submit the form, the Washington State Department of Health will review the information and may take appropriate action based on the incident.