This document summarizes an evaluation of Ohio's Surface Water Contact Advisory Removal Program. The evaluation was conducted to develop recommendations for a more consistent process to reevaluate and remove contact advisories from contaminated waterways. Through interviews with Ohio Department of Health decision-makers and a survey of other Midwestern state programs, the evaluation aims to determine the key factors considered when deciding to remove an advisory. A review of past Ohio case studies also identifies similarities and differences in how sites were evaluated for remediation. The results will help Ohio agencies streamline the advisory removal process and clarify the information needed to make removal decisions.