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Water affordability challenges and their solutions vary at the local level: a one-size-fits-all solution does not exist. Identification of opportunities to ease the burden on ratepayers may require analyses that extend beyond a standard cost-of-service study and rate design, though the efforts are complimentary. This report builds on findings from initial analysis of water affordability challenges in northeastern Illinois and lessons from pilot projects with Chicago, Evanston, and others. The audience for this report is technical assistance providers, and the goal is to inform successful program design. For more information, visit: metroplanning.org/wateraffordability.