A to Z
Data &
Forms &
News &
Licensing &
Rules &
Public Health
Annual Summary Reports
The Cross Connection Annual Summary Report is a requirement for all community water systems in Oregon. Community water systems must report the requested information on their cross connection control programs each year to the Oregon Health Authority on the forms provided below.

The Annual Summary Report is due each year by March 31
2016 Annual Summary Report

You can complete the 2016 ASR using Survey Monkey or by filling out the fillable pdf. If you complete your ASR using Survey Monkey you will be emailed a copy of the completed report within a few weeks.

2015 Annual Summary Report
2015 Annual Summary Report - Fillable

2014 Annual Summary Report