City of Rockford Cross Connection Survey
Cross Connection Survey - Please fill out a survey for each Rockford, IL property that you own.
The below survey must be completed by all water services connected to our public water supply. This survey will help us prevent accidental contamination of our drinking water. The purpose of this survey is to determine whether a cross-connection may exist at your home or business.
This survey is required by the Illinois Environmental Protection Agency, and must be completed by all water customers. Most modern plumbing systems have backflow devices built in (toilets, sinks, modern hose connections). Please be assured this is not necessarily an indication of any problems, but is required by the IEPA. Thank you for your cooperation.