Skip to main navigation
Florida Department of Environmental Protection

Florida Department of Environmental Protection

  • A-Z Index
  • Forms
  • News
  • Events
  • Contact Us
  • MyFlorida.com
Florida Department of Environmental Protection
  • About DEP
  • How Do I
    • Apply for a Permit
    • Apply for a Job with DEP
    • Access the DEP Business Portal
    • Clean Up Sites Contaminated by Petroleum
    • Contact Geographic Information Systems (GIS)
    • Contact the GIO
    • Dispose of Unwanted Medicine
    • Find DEP Standard Operating Procedures
    • Find a Permit
    • Find a Spring
    • Find Hurricane Information
    • Find Parks, Trails & Recreation Areas
    • Find Water Supply Plans
    • Florida Beach Access
    • Get GIS Data
    • Get Information About the Volkswagen Settlement, Florida Mitigation Fund
    • Get Training and Certifications
    • Learn about Florida’s Coral Reefs
    • Learn about Septic Tanks
    • Learn about Sinkholes
    • Learn about Wastewater Management
    • Protect the Environment from Solid and Hazardous Wastes
    • Purchase Property
    • Receive Analytical Lab Services
    • Report Algal Blooms
    • Research Florida Geology
    • Review Agency Rules
    • See Pollution Notices
    • Submit a Nondiscrimination Complaint
    • View DEP's Interactive Maps
  • Divisions
    • Administrative Services
    • Air Resource Management
    • Cabinet Affairs
    • Communications
    • Ecosystems Restoration
    • Environmental Accountability and Transparency
    • Environmental Assessment and Restoration
    • Florida Geological Survey
    • General Counsel
    • Inspector General
    • Intergovernmental Programs
    • Land and Recreation
    • Law Enforcement
    • Legislative Affairs
    • Office of the Secretary
    • Ombudsman and Public Services
    • Recreation and Parks
    • Regulatory Programs
    • Resilience and Coastal Protection
    • Springs
    • State Lands
    • Sustainable Initiatives Programs
    • Technology and Information Services
    • Waste Management
    • Water Policy and Ecosystems Restoration
    • Water Resource Management
    • Water Restoration Assistance
    • Districts
      • Central District
      • Northeast District
      • Northwest District
      • South District
      • Southeast District
      • Southwest District
  • Air
  • Lands
  • Parks & Rec
  • Waste
  • Water
Page Banner

Drinking Water Incident/Malfunction Report Form

  1. Home
  2. Divisions
  3. Central District
  4. Central District Compliance Assurance Program
  5. Drinking Water Incident/Malfunction Report Form

Central District Quick links

  • State 404 Program Public Notices
  • Resources for Drinking Water Facilities and Operators in Central District
  • Central District Topics of Interest
  • Phone Numbers - Central District
  • Organization Chart - Central District
  • Public Records
  • All Central District content
Scroll for More Quick Links
Document: 
Adobe PDF Document DEP MALFUNCTION REPORT_NEW VERSION_181017.pdf
Form Number: 
1
Effective-Revision Date: 
Wednesday, October 7, 2020
Last Modified: Monday, Nov 06, 2023 - 02:54pm

Interested in subscribing to DEP newsletters or receiving DEP updates through email?

Sign Up

About DEP

The Florida Department of Environmental Protection is the state’s lead agency for environmental management and stewardship – protecting our air, water and land. The vision of the Florida Department of Environmental Protection is to create strong community partnerships, safeguard Florida’s natural resources and enhance its ecosystems.

Learn More

Links

  • Air
  • A-Z Index
  • Lands
  • Forms
  • Parks & Rec
  • How Do I
  • Waste
  • News
  • Water
  • Events
  • Divisions
  • Contact Us

Contact

3900 Commonwealth Boulevard
Tallahassee, Florida 32399-3000 Public.Services@FloridaDEP.gov 850-245-2118 MyFlorida.com

Top

Some content on this site is saved in an alternative format. The following icons link to free Reader/Viewer software:
PDF: | Word: | Excel:

© Copyright 2024 Florida Department of Environmental Protection
  • Accessibility
  • Disclaimer
  • Privacy
  • Sitemap

The content on the Florida Department of Environmental Protection's (DEP's) website was written and published in English, and English is the sole authoritative language for all such content. As an aid to site visitors who might benefit from multiple language options, the website offers an automated translation feature for browser content in the footer. The translation link will not convert attached or linked files, such as PDFs.

The website translation feature uses Gtranslate® (https://www.drupal.org/project/gtranslate). Gtranslate® is a third-party tool which is not owned, maintained, modified, or controlled in any way by DEP, and which is not endorsed by DEP as preferable to either human-generated translations, or any other automated translation options.

Translation is a nuanced and complex activity and computer-generated translations cannot be expected to be perfectly accurate. Automated translations of this site are not reviewed in advance by DEP and could convey incorrect or offensive language. DEP disclaims any liability for errors, omissions, or interpretive inconsistencies arising in the context of such translation. Site users assume all risk in using translated text. DEP is not responsible for any loss, damage, or harm resulting from reliance on translated text. Use of the translation tool in this website implies understanding and agreement with this assumption and disclaimer.