Boil Water Advisory

Boil Water Advisory Template

Free BWA template provided by Kentucky Rural Water Association
Date*

MonthDayYear
Date
Utility Name:*
Public Water System ID #*
Contact Phone Number*
What are the areas being affected?*

0/325
What happened to cause the BWA?*

0/325
How are you correcting the problem?*

0/325
Enter the email address you want the BWA Notice sent to*
Send to the person who will help distribute the notice.
Should be Empty:

Boil Water Advisory Template