Cross Connection/Backflow Prevention Use Survey
The Freeport Department of Public Works – Water & Sewer Division is committed to providing quality and safe drinking water to all of Freeport’s residential and commercial users. To help ensure that the drinking water remains safe, the City of Freeport adopted a Cross Connection Control Program.

The Illinois Environmental Protection Agency (IEPA) requires every water supply to develop and implement a cross connection (backflow prevention) control program. One requirement of this program is to send a survey to all residential water customers in the City of Freeport every two years. All residential water customers are requested to complete the survey. Please note that there are some required fields, but not all fields in the survey need to be filled in.
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Email *
Is this address residential or commercial *
Do you have an underground lawn sprinkler system? *
Do you have a swimming pool or hot tub? *
Do you pull water from a source other than from the City of Freeport? *
Do you have a boiler or steam heat? *
Do you have a biological or chemical lab on-site? *
Do you have dental or dialysis equipment on-site? *
Do you have a water treatment system other than a water softener? *
If yes, what additional treatment are you doing?
Additional information or comments regarding water service connection:
First Name, Last Name *
Address, City, Zip Code *
Are you interested in joining the City of Freeport's E-Mail Newsletter Subscribing list? *
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