Water System Survey

State ID Number(Required)

This Stated ID Number is listed on your invoice.

Name of your water system.(Required)

Number of active connections? (Home, business, etc.)(Required)

Is the manager/billing information on your invoice correct?(Required)

Yes

No

Please enter the new owner/manager name, address, phone number, and email address.

Email

To receive a copy of your submission, please fill out your email address below and submit.

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Tacoma-Pierce County
Health Department
3629 S. D St.
Tacoma, WA 98418-6813

Open 8 a.m.–4:30 p.m.,
Monday–Friday, except holidays.
Some programs and services have
different hours of operation.