Required fields are marked with asterisks (*)

Drinking Water Testing for Lead

Kitchener Utilities annually tests Kitchener’s water distribution system for lead. Interested participants can fill out this form to see if they qualify to participate.

For more information and details, visit www.kitchenerutilities.ca/leadtesting

Credit is applied to the person who pays the water bill. Only those who qualify will be contacted.

First name

Last name

Phone number

Email address

Property address

Postal Code

What type of residence is this?

single detached home or semi-detached home

townhouse/row house (may not qualify)

apartment/condominium (may not qualify)

commercial/business (may not qualify)

The regulation requires a hard water drinking tap to complete the testing. Do you have a hard water line at the kitchen sink, or can you by-pass the softener?

Yes

Do you have any water treatment at your tap (ozone/UV/RO)?

Yes

Personal information is being collected under the authority of s. 28(2) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used for the Drinking Water Testing for Lead program from the City of Kitchener. This information will be shared with staff who require it for their work as part of Kitchener Utilities and will be stored on a server owned by a Third Party Service Provider (eSolutions Group) located in Canada. The personal information collected herein will be used only for the purposes relating to the program and will be protected in accordance with the requirements stipulated in the MFIPPA.

Inquiries about the collection, use or disclosure of your personal information should be directed to Kitchener Utilities (519) 741-2600.