Past User Charge Forms
 
 

The User Charge and Technical Services Section has the following forms available:
 
Facility Classification Questionnaire (FCQ) Instruction and Form
Notification of User's Monitoring Sampling Dates
Certification of Completeness
User Charge Certified Sampling Analysis Reporting Statement RD-920 2013
For Year 2017
2017 925-V Payment Voucher (PDF)
2017 RD-925 Form and Instructions
  2017 RD-925 Form and Instructions (PDF)
  2017 RD-925 Form, Instructions, and Worksheets (Excel)
2017 7f Form and Instructions
  2017 7f Form and Instructions (PDF)
  2016 7f Form and Instructions (Excel)
2017 RD-925 Form and Instructions
  2017 RD-925 Form and Instructions (PDF)
  2017 RD-925 Form, Instructions, and Worksheets (Excel)
2017 RD-925 User Charge Workshop Presentation
For Year 2016
2016 925-V Payment Voucher
2016 7f Form and Instructions (PDF)
2016 7f Form and Instructions (Excel)
2016 RD-925 Form and Instructions
  2016 RD-925 Form and Instructions (PDF)
  2016 RD-925 Worksheets (PDF)
2016 RD-925 User Charge Workshop Presentation
For Year 2015
2015 RD-925 Form and Instructions
  2015 RD-925 Form and Instructions (PDF)
  2015 RD-925 Worksheets (PDF)
  2015 RD-925 Form, Instructions, and Worksheets (Excel)
RD-920 Sampling Report and Instructions
For Year 2014
2014 RD-925 Form and Instructions
2014 925-V Payment Voucher
2014 7f Form and Instructions
2014 Request for District Sampling Data (UC-140)
RD-920 Sampling Report and Instructions
For Year 2013 (Now Fillable!)
WHITE:  Large Commercial Industrial Users Filing WITH SAMPLE DATA
WHITE 2013 RD-925
WHITE 2013 Administrative Cost Recovery Worksheet
WHITE 2013 RD-925 form preparation
BLUE:  Large Commercial Industrial Users Filing with 7g (119/168)
BLUE 2013 EASY FILL RD-925 statement
BLUE 2013 Administrative Cost Recovery Worksheet
BLUE 2013 RD-925 form preparation
PINK:  Tax Exempt Users Filing WITH SAMPLE DATA
PINK 2013 RD-925 EZ FILL
PINK 2013 RD-925 form preparation
YELLOW:  Tax Exempt Users Filing with 7g (119/168)
YELLOW 2013 RD-925 EZ FILL TAX EXEMPT (7g)
YELLOW 2013 RD-925 form preparation
GREEN 2013 Tax-Exempt Certified Statement 7f
For Year 2012 (Now Fillable!)
WHITE:  Large Commercial Industrial Users Filing WITH SAMPLE DATA
WHITE 2012 RD-925
WHITE 2012 Administrative Cost Recovery Worksheet for LARGE COMMERCIAL US
Form preparation for WHITE 2012 RD-925
BLUE:  Large Commercial Industrial Users Filing with 7g (119/168)
BLUE 2012 RD-925 EZ FILL
BLUE 2012 Administrative Cost Recovery Worksheet for LARGE COMMERCIAL US
Form preparation for BLUE 2012 RD-925
PINK:  Tax Exempt Users Filing WITH SAMPLE DATA
PINK 2012 RD-925 EZ FILL
Form preparation for PINK 2012 RD-925
YELLOW:  Tax Exempt Users Filing with 7g (119/168)
YELLOW 2012 RD-925 EZ FILL for TAX EXEMPT (7g)
Form preparation for YELLOW 2012 RD-925
GREEN 2012 Tax-Exempt User Charge Annual Certified Statement 7f
For Year 2011 (Now Fillable!)
Actual Form: RD-925
  General Instructions : RD-925
  Form Preparation : RD-925
2011 Tax-Exempt User Charge Annual Certified Statement 7f
Administrative Cost Recovery Worksheet For 2011

EZ Fill only for Tax Exempt Users Filing with 119/168
2011 RD-925 EZ FILL for TAX EXEMPT
Form preparation for EZ FILL for TAX EXEMPT USERS ONLY
Frequently Asked Questions for EZ FILL for TAX EXEMPT USERS ONLY

EZ Fill only for Large Commercial Industrial Users Filing with 119/168
2011 RD-925 EZ FILL for LARGE COMMERCIAL USERS ONLY
2011 Administrative Cost Recovery Worksheet for LARGE COMMERCIAL USERS ONLY
Form preparation for EZ FILL for LARGE COMMERCIAL USERS ONLY
Frequently Asked Questions for EZ FILL for LARGE COMMERCIAL USERS ONLY
For Year 2010 (Now Fillable!)
Actual Form: RD-925
  General Instructions : RD-925
  Form Preparation: RD-925
2010 Tax-Exempt User Charge Annual Certified Statement 7f
Administrative Cost Recovery Worksheet For 2010
For Year 2009
Actual Form: RD-925
  General Instructions : RD-925
  Form Preparation : RD-925
2009 Tax-Exempt User Charge Annual Certified Statement 7f
Administrative Cost Recovery Worksheet For 2009