Annual Backflow Recertification Order Form

call number
review

Annual Backflow Recertification Order Form

Utility Information

NOTE: Backflow tests are performed 3-5 business days prior to the recertification due date given on this form. IF YOURS IS DUE IN LESS THAN 5 BUSINESS DAYS, please contact us directly at 888.613.2858.

Backflow Permit Fees vary by municipality, some are more complex than others to calculate. So let's start the process by first asking for which municipality are you placing an order?

Water Utility/Dept*