RECERTIFICATION FORM

Recertification Information

Please note, backflow tests are performed 3-5 days before the recertification date. If your recertification is due in less than 7 business days, contact as soon as possible at (561) 448-3200.

Name(Required)

First Last

Phone(Required)

Service Location Information

Where is the backflow?

Street Address City State / Province / Region ZIP / Postal Code

Water Utility Information

Water Utility / Department

Recertification Due Date

CCN Number

Upload Your Notice

Max. file size: 512 MB.

Backflow Information

It would help us immensely if you could provide either the meter number or serial number of each backflow that needs to be certified. You can get this information from your municipality or the notice you received from the municipality.

How Many Backflows Do You Need Recertified?

Meter Number (1)

Serial Number (1)

Meter Number (2)

Serial Number (2)

Meter Number (3)

Serial Number (3)

Meter Number (4)

Serial Number (4)

Meter Number (5)

Serial Number (5)

Meter Number (6)

Serial Number (6)

Meter Number (7)

Serial Number (7)

Meter Number (8)

Serial Number (8)

Meter Number (9)

Serial Number (9)

Meter Number (10)

Serial Number (10)

Phone: (561) 264-2138 | Email: info@flamingoplumbing.com

2781 Vista Pkwy K10 West Palm Beach, FL 33411

State Fire Protection License: FPC17-000046
State Plumbing License: CFC1426338