This is a legal form that was released by the Indiana Department of Environmental Management - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 55275?
A: Form 55275 is the Consumer Notice of Lead Result in Drinking Water in Indiana.
Q: Who is required to fill out Form 55275?
A: Public water systems in Indiana are required to fill out Form 55275 if a lead action level exceedance is identified.
Q: What is the purpose of Form 55275?
A: The purpose of Form 55275 is to notify consumers of the presence of lead in drinking water and provide information on reducing exposure.
Q: What is a lead action level exceedance?
A: A lead action level exceedance is when the concentration of lead in drinking water exceeds the maximum allowable limit set by the state.
Q: How should consumers be notified of lead results in drinking water?
A: Consumers should be notified through the distribution of written notices, using Form 55275 as the template.
Q: What information should be included in the consumer notice?
A: The consumer notice should include the lead test results, potential health effects, and steps to reduce exposure to lead.
Q: Is there a deadline for submitting Form 55275?
A: Yes, public water systems are required to submit Form 55275 within 30 days of a lead action level exceedance being identified.
Q: What should I do if I receive a consumer notice about lead in drinking water?
A: If you receive a consumer notice about lead in drinking water, follow the recommended steps to reduce lead exposure and consider using alternative sources of drinking water if necessary.
Form Details:
Download a fillable version of State Form 55275 by clicking the link below or browse more documents and templates provided by the Indiana Department of Environmental Management.