Sachse, TX · Dallas County
Backflow Test Report
Licensed testers complete this report for each backflow prevention assembly tested for the City of Sachse and submit the signed original to the public water supplier.
What this form is
The report records test results and maintenance details for a backflow prevention assembly tested for the City of Sachse. The form says one report must be completed for each assembly tested and asks for assembly information, test results, repairs, and licensed tester details. A signed and dated original must be submitted to the public water supplier for recordkeeping.
Who needs it
A licensed tester completes and submits this report for each backflow prevention assembly tested for the City of Sachse.
How to submit it
Submit a signed and dated original to the public water supplier at 3815 Sachse Rd, Building B, Sachse, TX 75048.
About notarization
This document is signed without a notary; the licensed tester signs and dates the report, and no notarized or sworn attachment is identified.
How to submit this form
- 1
Download The Report
Download the Backflow Test Report for the assembly being tested.
- 2
Complete The Test Details
Enter the assembly information, test results, repair details, and licensed tester information.
- 3
Sign And Date The Report
The licensed tester signs and dates the completed report.
- 4
Submit The Original
Send the signed and dated original to the public water supplier at the Sachse mailing address shown on the form.
Frequently asked questions
- What is the Sachse Backflow Test Report used for?
- It records test and maintenance details for a backflow prevention assembly tested for the City of Sachse. The form must be completed for each assembly tested.
- Who completes the Backflow Test Report?
- A licensed tester completes the report with assembly details, test results, any repairs and materials used, and tester information.
- Do I need a notary for the Backflow Test Report?
- No. The licensed tester signs and dates the report; the document does not identify any notarized or sworn attachment.
- How do I submit the Backflow Test Report?
- Submit a signed and dated original to the public water supplier at 3815 Sachse Rd, Building B, Sachse, TX 75048.
Need something notarized?
This Backflow Test Report doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.