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City of MiddletonApplication for General Plumbing Plan Review and Cross Connection Assembly Review Complete all pages NOTE: Personal information you provide may be used for secondary purposes [Privacy

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How to fill out backflow prevention forms and

01

Gather all the necessary information and equipment needed to complete the form.

02

Start by filling out the top section with your personal information such as name, address, and contact information.

03

Proceed to the section where you will need to detail the backflow prevention device installed, including make, model, and serial number.

04

Fill out any additional information requested, such as the date of last inspection and any maintenance records.

05

Review the form for accuracy and completeness before submitting it to the appropriate authorities.

Who needs backflow prevention forms and?

01

Anyone who owns a property with a backflow prevention device installed needs to fill out backflow prevention forms. This includes homeowners, businesses, and organizations that are required to comply with local plumbing codes and regulations.

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What is backflow prevention forms?

Backflow prevention forms are documents used to report the installation, testing, and maintenance of backflow prevention assemblies, which protect potable water systems from contamination due to backflow.

Who is required to file backflow prevention forms?

Owners of properties with backflow prevention devices, plumbing contractors, and licensed testers are typically required to file backflow prevention forms.

How to fill out backflow prevention forms?

To fill out backflow prevention forms, include details such as the property address, type of backflow device installed, test results, date of installation, and the tester's certification.

What is the purpose of backflow prevention forms?

The purpose of backflow prevention forms is to ensure that backflow prevention devices are properly maintained and tested, thus safeguarding public health by preventing contamination of drinking water.

What information must be reported on backflow prevention forms?

Backflow prevention forms must report information such as the location of the device, type of device, testing results, tester's name and certification details, and installation date.

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