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Get the free Backflow Registration Form - City of Dallas

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NEW 1 RENEWAL 1 Contractor # BACKFLOW ASSEMBLY TESTER REGISTRATION MUST BE COMPLETELY FILLED OUT IN ORDER TO BE ACCEPTED FOR REGISTRATION ORIGINAL REGISTRATION: THE LICENSED TESTER MUST PERSONALLY
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How to fill out backflow registration form

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How to fill out backflow registration form:

01
Begin by reading all instructions provided with the form to ensure a complete understanding of the requirements.
02
Fill in the necessary personal information accurately, such as name, address, and contact details.
03
Provide information about the property where the backflow device is installed, including the address and any relevant details.
04
Indicate the type of backflow device installed, including its make, model, and serial number.
05
If applicable, provide the contact information of the certified backflow prevention assembly tester who conducted the device's most recent testing.
06
Attach any supporting documentation or certificates requested, such as testing reports or maintenance records.

Who needs backflow registration form:

01
Any property or premises that have a backflow prevention device installed are typically required to fill out a backflow registration form.
02
This includes residential, commercial, and industrial properties.
03
Local water authorities or regulatory agencies may require the submission of this form to ensure compliance with backflow prevention measures and to protect the public potable water supply from contamination or pollution.
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The backflow registration form is a document used to register backflow prevention devices on a property and provide information regarding their installation, maintenance, and inspection.
Property owners or operators who have backflow prevention devices installed on their premises are required to file the backflow registration form.
To fill out the backflow registration form, you need to provide details such as property information, device type, installation date, maintenance records, and contact information. The form can be obtained from the relevant regulatory authority and should be completed accurately and in accordance with their instructions.
The purpose of the backflow registration form is to ensure that backflow prevention devices are properly registered and maintained to safeguard the public water supply from potential contamination.
The backflow registration form typically requires information such as property address, device type, installation date, maintenance records, and contact information of the property owner or operator.
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