Bullhead City, AZ · Mohave County

No notary required

Manufactured Home Utility Testing Report Form

Installers complete this report for a manufactured home installation to record utility test results and provide a copy for the city inspector.

What this form is

This report records water, sewer, electrical, and gas test results for a manufactured home installation. It asks for owner, home, installer, and dealer details, test information, the installer's signature and date, and any notes; the form says a completed copy is to be placed in the field folder for inspector use.

Who needs it

The home installer completes the report with installation details and utility test results, then provides a copy for inspector use.

How to submit it

Place the completed copy in the field folder for inspector use. The form identifies Bullhead City Development Services at 2355 Trane Rd, Bullhead City, AZ 86442.

About notarization

This report is signed and dated by the installer without a notary; it does not mention any notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Report

    Download the Manufactured Home Utility Testing Report Form.

  2. 2

    Complete The Form

    Enter the owner, home, installer, and dealer details, then record the utility test results.

  3. 3

    Sign And Date

    The installer signs and dates the report and may add notes or comments.

  4. 4

    Place In The Field Folder

    Place the completed copy in the field folder for inspector use.

Frequently asked questions

What does the Manufactured Home Utility Testing Report record?
It records water, sewer, electrical, and gas test results, along with details about the home, owner, installer, and dealer.
Do I need a notary for the Manufactured Home Utility Testing Report?
No. The installer signs and dates this report; it does not mention a notarized or sworn attachment.
How do I submit the Manufactured Home Utility Testing Report?
Place the completed copy in the field folder for inspector use. The form lists Bullhead City Development Services at 2355 Trane Rd, Bullhead City, AZ 86442.

Need something notarized?

This Manufactured Home Utility Testing Report Form doesn’t need a notary — but if you have another Bullhead City form that does, a commissioned online notary can help.