Do I need a notary for this report?

No. This report has no notary block; the tester signs and dates it, and the form lists no notarized attachment or sworn step.

When is this report required?

The form states that it must be completed for each backflow prevention assembly tested and submitted to the City of Lucas.

What information does the report request?

It requests business and assembly details, test results, repairs and materials used, gauge information, remarks, and tester and firm details.

Lucas, TX · Collin County

No notary required

Backflow Prevention Assembly Test & Maintenance Report

This report records backflow assembly testing and maintenance for the City of Lucas; the tester completes and submits it for each assembly tested.

What this form is

Use this report to document the testing and maintenance of a backflow prevention assembly. The form says it must be completed for each assembly tested, and a signed, dated original must be submitted to the City of Lucas for record keeping. It asks for business and assembly details, test results, repairs and materials used, test gauge information, remarks, and tester and firm details.

Who needs it

A business or certified tester reporting a tested backflow prevention assembly to the City of Lucas needs to complete and submit this report.

How to submit it

Submit a signed and dated original to the City of Lucas at 665 Country Club, Lucas, TX 75002-7651, for record keeping. The form identifies Building Inspections as the contact person.

About notarization

This report is signed and dated without a notary; the form lists no notarized attachment or sworn step.

How to submit this form

1
Download The Report
Download the Backflow Prevention Assembly Test & Maintenance Report.
2
Complete The Report
Provide the requested business, assembly, testing, repair, gauge, and tester details for each assembly tested.
3
Sign And Date
The form requires a signed and dated original; it lists no separate attachment.
4
Submit To The City
Submit the original to the City of Lucas at the mailing address shown on the form.

Frequently asked questions

Do I need a notary for this report?: No. This report has no notary block; the tester signs and dates it, and the form lists no notarized attachment or sworn step.
How do I submit the report?: Submit a signed and dated original to the City of Lucas at 665 Country Club, Lucas, TX 75002-7651, for record keeping.
When is this report required?: The form states that it must be completed for each backflow prevention assembly tested and submitted to the City of Lucas.
What information does the report request?: It requests business and assembly details, test results, repairs and materials used, gauge information, remarks, and tester and firm details.

Need something notarized?

This Backflow Prevention Assembly Test & Maintenance Report doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.