Reimbursement Form for PFAS Issues

How to request reimbursement

Aquarion Water Company is reimbursing households served by our Springdale water system for bottled water purchases made after October 1, 2022 because PFAS levels in the well water for that system exceed the regulatory limit.

Recent test results indicate that the PFAS6 levels in the water from these wells have increased and exceeded the allowable level (referred to as the Maximum Contaminant Level or MCL) set by the Massachusetts Department of Environmental Protection (MassDEP) for the period 06/01/2022 to 09/30/2022.

To receive a reimbursement for your water purchases, please complete this form in its entirety, including an itemized receipt listing the dates, quantity, and the cost of the water purchased. The sum of monthly purchases may not exceed $40.00.

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