---
title: Cross-Connection Control Survey Compliance Form Template | Paperform
description: Professional digital form for businesses to report plumbing systems, backflow prevention devices, and cross-connection hazards to municipal water authorities. Streamline compliance surveys with file uploads and hazard assessment logic.
url: "https://paperform.co/templates/cross-connection-control-survey-compliance-form"
type: static
generatedAt: "2026-03-28T00:43:33.898Z"
---

[← Back to free form templates](/templates/)    ![Cross-Connection Control Survey Compliance Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/cross-connection-control-survey-compliance-form.png)
    [Preview](https://_preview.paperform.co/ai-template/cross-connection-control-survey-compliance-form) [Use this template for free](/create?ai-template=cross-connection-control-survey-compliance-form)    [Government & Civic Forms](/templates/category/government-civic/) [Public Administration](/templates/industry/public-admin/) [Manager](/templates/role/manager/)[Compliance Officer](/templates/role/compliance-officer/)[Facilities Manager](/templates/role/facilities-manager/)     About this free form template
### Streamline Cross-Connection Control Compliance with Paperform

Municipal water departments and commercial property managers need a reliable way to document cross-connection control systems and assess backflow hazards. This **Cross-Connection Control Survey Compliance Form** gives you a professional, comprehensive solution for collecting detailed plumbing system information, hazard assessments, and backflow prevention device data—all in one streamlined digital form.

#### Built for water utilities, property managers, and compliance officers

Whether you're a water utility conducting annual surveys, a property management company ensuring tenant compliance, or a facilities manager documenting your building's plumbing systems, this template captures everything you need: facility details, plumbing system diagrams, hazard classifications, backflow preventer inventories, and testing records.

The form uses conditional logic to show relevant follow-up questions based on hazard levels and device types, making it easy for respondents to complete accurately while ensuring you collect all required compliance data. Upload plumbing diagrams, site plans, and test reports directly within the form, and use signature fields for certification statements.

#### Connect compliance data to your workflow

With Paperform's native integrations and [Stepper](https://stepper.io) workflows, you can automatically route high-hazard facilities for immediate follow-up, log all submissions to your water management database or compliance tracking system, and trigger reminder emails for annual re-inspections. Send data to Google Sheets, Airtable, or your municipal CRM, and keep your entire compliance program running smoothly without manual data entry.

This template is trusted by water departments, environmental health agencies, and commercial property managers who need a clear, compliant way to manage cross-connection control surveys at scale.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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