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Forms
(all forms require Adobe Acrobat Reader)
Cross-Connection
Hazard Survey
(must be signed in ink and post
mailed in or hand delivered. No email please)
ACH FORM
(This is the form to make
direct withdrawal from bank accounts)

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Resources
Meter Hook-Up &
Line Installation Instructions
Expansion Tank
Instructions
Poweshiek Water Association
125 Industrial Dr. PO Box 504
Brooklyn, Iowa 52211
Phone Number
(641) 522-7416 or
(800) 543-7419
Fax: (641) 522-7556
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Links
American Water
Works Association
Association of Metropolitan
Water Agencies
Iowa
Children's Water Festival
Iowa Rural Water
Association
National Rural Water
Association
Environmental Protection Agency
Iowa Department of Natural
Resources
United States Department of
Agriculture
EPA
Office of Water Kids Page
Preparedness
for Acts of Water Terrorism
Checklist
for Environmental Risks in Your Home!
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