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Backflow Inspection Report Submission

  1. Tester Information
  2. Backflow Location Information
  3. Physical Address Only
  4. Type a number 1 - 5
  5. Instructions
    If a business has more than one backflow you may submit up to 5 at a time. If there are multiple businesses, please submit separately.
  6. PDF Format is Preferred
  7. Need a backflow form?
    Feel free to use this one. Electronic signatures are accepted. Click here for more information about e-signing pdf documents.
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