Service Questionnaire - Fort Collins - Loveland Water District
Attention Timnath Customers: Read this URGENT request for reduced watering at https://fclwd.com/watering-restrictions

Protecting your home from lead in your drinking water

Thank you in advance for your support in helping us identify potential lead or galvanized steel pipes in your home by completing this voluntary questionnaire. You will be asked a series of questions and also be asked to upload photos. If you have any questions, please email us at waterquality@fclwd.com or call (970) 226-3104 ext 124. Note: If your home was built in or after 1988 you do NOT need to fill out the questionnaire.

Name(Required)
Address(Required)
Young children, infants, and pregnant women are more susceptible to lead exposure.
Where does the service line enter your house? Select one of the following options:(Required)

Check the pipe material where it enters through the floor or wall before the shutoff valve (see photo to the right for reference). If the material is identified as galvanized steel, please provide a photo with a magnet attached to the test area. If the pipe is coated in paint, please provide an up-close photo of the test area with a 1-inch portion of paint removed.
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