|Classification / Identification:|
| ||Form Number:||014-4580-64E||Edition date: ||2017/08 |
| ||Title:||Notice of Adverse Test Results and Issue Resolution|
| ||Ministry:||Health|| || |
| ||Branch/ABC:||Public Health|| || |
| ||Program:||Food Safety And Safe Water Unit|| || |
| ||Purpose of Form:||The Notice of Adverse Test Results and Issue Resolution form is to be used by licensed laboratories and owners/operators of small drinking water systems to support required written notifications pertaining to small drinking water system adverse water quality incidents (AWQI).|| || |
You must download Adobe Acrobat Reader (version 10.0 or above) to view/print PDF forms.
Click here for further instructions.
If PDF forms do not open in the latest versions of Firefox and Chrome, click here for the solution.
Protecting Your Information:
If you are using this online service on a shared computer in a public area (i.e. public library), it is important to ensure that you do not leave the computer unattended while accessing the service. Before leaving the computer, it is also important that you fully exit the application, clear your browser's cache (This link opens in a new window)
and close down your browser. This will ensure that no one else can access any personal information you may have entered.