Rapid Assessment Form for Wells Affected by Wildfire

This form helps environmental health practitioners with experience working on individual wells quickly assess damage and risk associated with individual wells and water system infrastructure.

Practitioners can also use this form along with water quality sampling information to help homeowners or business owners take action to repair damage to a well and water system infrastructure and keep their water safe.

This is not a comprehensive well assessment form. It is for print use only pdf icon[PDF – 117 KB].

Learn about threats to well water after a wildfire and potential solutions to common problems.