This version of the form is not currently in use and is provided for reference only. Download this version of Form A (EQP5942A) for the current year.
This is a legal form that was released by the Michigan Department of Environment, Great Lakes, and Energy - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form A (EQP5942A)?
A: Form A (EQP5942A) is a Lead and Copper Report and Consumer Notice for Community Water Supply.
Q: Who is the form applicable to?
A: The form is applicable to community water supplies that have lead service lines in Michigan.
Q: What is the purpose of Form A (EQP5942A)?
A: The purpose of Form A (EQP5942A) is to report on lead and copper levels in the water supply and to provide a consumer notice.
Q: What information does the form include?
A: The form includes information on lead and copper concentrations in the water, as well as actions taken to reduce lead exposure.
Q: Why is it important for community water supplies with lead service lines to fill out this form?
A: It is important for community water supplies with lead service lines to fill out this form to ensure transparency and inform consumers about the lead and copper levels in the water supply.
Q: What should consumers do upon receiving the consumer notice?
A: Consumers should review the consumer notice, follow any recommended actions, and consult with their healthcare provider if they have concerns about lead exposure.
Form Details:
Download a fillable version of Form A (EQP5942A) by clicking the link below or browse more documents and templates provided by the Michigan Department of Environment, Great Lakes, and Energy.