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Oregon Health Authority

Cross Connection Annual Fee

Cross Connection Annual Fee for Community Water Systems

Annual Fee invoices will be mailed out in November

Annual fee invoices are mailed to all community water system contacts in November of each year. Payment is due by the first working day in January of the following year. A late fee of 50% is added if the payment is received after January 31.

Water system information is available on Data Online, where you can search for a water system by name or identification number.

The fee amount is based on the number of connections in the water system. Please complete the appropriate form for your water system and include it with your payment.

System Size
(by Connections)
Fee
Late Fee
Forms
15 to 99$30.00$15.00 PDF
100 to 999$75.00$37.50 PDF
1,000 to 9,999$200.00$100.00 PDF
10,000 or more$350.00$175.00 PDF

Payment Options

  • Check: Make checks out to OHA Cashier. Mail the check and completed form to:
    OHA Cashier

    PO Box 14260
    Portland, OR  97293

  • Credit Card: You can now pay your annual fee online with a credit card!
    When you pay online you do not need to mail in the form, just keep a copy of the receipt for your records.
Pay Online Now
Question? Contact to program cross.connection@odhsoha.oregon.gov or 971-673-0321