Who completes the Stephenville backflow test report?

The report is completed for each assembly tested and includes the certified tester’s details, test results, and a certification that the document is true at the time of testing.

How do I submit the backflow report?

Submit a signed and dated original to the Building Inspector’s Office within five days of the test. The report also says all reports must be submitted to SC Tracking Solutions.

Do I need a notary for the backflow test report?

No. The report is signed and dated by the tester and includes the tester’s certification; it does not specify a notarized or sworn attachment.

Stephenville, TX · Erath County

No notary required

Backflow Prevention Assembly Test and Maintenance Report

Certified testers complete this report for each backflow prevention assembly tested and maintained in Stephenville.

What this form is

Stephenville requires a completed report for each assembly tested, with a signed and dated original submitted within five days of the test for record keeping. The report records the property and assembly details, test results, repairs, gauge information, and certified tester’s contact information and certification. It also includes a certification that the document is true at the time of testing.

Who needs it

A certified tester who tests and maintains a backflow prevention assembly in Stephenville must complete a report for each assembly.

How to submit it

Submit a signed and dated original to the Building Inspector’s Office within five days of the test. The form also states that all reports must be submitted to SC Tracking Solutions.

About notarization

This report is signed and dated without a notary; the tester certifies the information, and no sworn or notarized attachment is specified.

How to submit this form

1
Download The Report
Download the Stephenville backflow prevention assembly test and maintenance report.
2
Complete The Report
Fill in the property and assembly details, test results, repairs, gauge information, and certified tester information.
3
Sign And Date
The certified tester signs and dates the report and certifies it is true at the time of testing.
4
Submit The Report
Submit the signed original to the Building Inspector’s Office within five days of the test; the report also directs all reports to SC Tracking Solutions.

Frequently asked questions

Who completes the Stephenville backflow test report?: The report is completed for each assembly tested and includes the certified tester’s details, test results, and a certification that the document is true at the time of testing.
How do I submit the backflow report?: Submit a signed and dated original to the Building Inspector’s Office within five days of the test. The report also says all reports must be submitted to SC Tracking Solutions.
Do I need a notary for the backflow test report?: No. The report is signed and dated by the tester and includes the tester’s certification; it does not specify a notarized or sworn attachment.

Need something notarized?

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