Get the free aphc backflow recertification form

BACKFLOW RECERTIFICATION CLASS REGISTRATION FORM CALENDAR YEAR 2015 Please fill in the appropriate information below COMPANY NAME STREET ADDRESS CITY STATE PHONE ZIP FAX E-MAIL ADDRESSPLEASE INDICATE WHICH CLASS SESSION YOU ARE REGISTERING TO ATTEND NAME Current Backflow Registration Expiration Date Student s State Plumbing License OCILB 5-digit number if applicable CLASSROOM FEE PER STUDENT STATE BACKFLOW 3-YEAR REGISTRATION FEE PER STUDENT TOTAL FEE PER STUDENT Number of students...

How to fill out aphc backflow recertification form

How to fill out APHC backflow recertification form:

1. Start by filling out your personal information section at the top of the form. This will include your name, address, phone number, and email.
2. Next, provide the details of your current backflow prevention device. This will include the make, model, serial number, and installation date.
3. Fill in the testing information section, which will include the date of the most recent testing, the individual or company who performed the testing, and the result of the testing.
4. In the maintenance section, indicate whether any repairs or replacements were made to the backflow prevention device since the last testing.
5. Provide any additional information or comments that may be relevant to the recertification process.
6. Sign and date the form to certify that all the information provided is accurate and complete.

Who needs APHC backflow recertification form:

1. Plumbing professionals or contractors who install and maintain backflow prevention devices.
2. Property owners or managers whose properties are equipped with backflow prevention devices.
3. Any individual or entity responsible for ensuring the proper functioning of backflow prevention devices in a municipal water system.

For pdfFiller’s FAQs

What is aphc backflow recertification form?

The aphc backflow recertification form is a document used to ensure that backflow prevention devices are in proper working order.

Who is required to file aphc backflow recertification form?

All businesses or individuals who have backflow prevention devices installed on their premises are required to file the aphc backflow recertification form.

How to fill out aphc backflow recertification form?

The aphc backflow recertification form can be filled out online or in paper form and must include information about the backflow prevention device and its maintenance history.

What is the purpose of aphc backflow recertification form?

The purpose of the aphc backflow recertification form is to ensure that backflow prevention devices are functioning properly and meet regulatory requirements.

What information must be reported on aphc backflow recertification form?

Information such as the location of the backflow prevention device, the date of installation, and any maintenance or testing that has been performed must be reported on the aphc backflow recertification form.

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