Rosslyn Farms, PA · Allegheny County

No notary required

Dye Testing and Lateral Inspection Application, Certificate of Compliance

Property owners and applicants use this form to apply for a dye test and lateral inspection and document the results for a Borough compliance certificate.

What this form is

This application records a property’s dye test and lateral inspection results and serves as evidence of compliance with the Borough’s requirements. The applicant section asks for owner, property, applicant, and certificate mailing information; a registered plumber completes the tests, records violations or repairs, and certifies the results. The Borough issues a certificate after accepting the application as proof of testing and satisfactory conditions.

Who needs it

A property owner or applicant seeking a Borough dye test and lateral inspection compliance certificate needs this form, with the testing and inspection sections completed by a registered plumber.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; the plumber certifies the test and repair information by signing and dating the form.

How to submit this form

  1. 1

    Download The Application

    Download the Dye Testing and Lateral Inspection Application, Certificate of Compliance.

  2. 2

    Complete Applicant Information

    Enter the owner, property, applicant, and certificate mailing information requested on the form.

  3. 3

    Have The Plumber Complete Testing

    The registered plumber records dye test and lateral inspection results, any violations or repairs, and signs and dates the certifications.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Dye Testing and Lateral Inspection Application for?
It records dye test and lateral inspection results and serves as the application for evidence of compliance and a Borough certificate.
Who completes the form?
The applicant provides owner, property, and contact information. A registered plumber fills in the test and inspection results and certifies the testing and repair information.
Do I need a notary for this application?
No. This application is signed without a notary. The plumber signs and dates the certifications for the test and repair information.
How do I submit the application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Dye Testing and Lateral Inspection Application, Certificate of Compliance doesn’t need a notary — but if you have another Rosslyn Farms form that does, a commissioned online notary can help.