Webster, TX · Harris County
Backflow Prevention Assembly Test and Maintenance Report
Property contacts and backflow testers use this report to record assembly details, test results, maintenance, and certification for a backflow prevention assembly.
What this form is
This fillable report records the property and assembly information, test readings, repairs, gauge details, status, and tester information for a backflow prevention assembly. The form states that testing is required upon installation, repair, or relocation and annually thereafter; it also says reports must be kept for at least three years. Illegible or incomplete reports will not be accepted.
Who needs it
Property contacts and backflow testers use this report to document required testing and maintenance of a backflow prevention assembly.
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 report does not require a notary; the tester certifies the test results as true at the time of testing, and no sworn attachment is listed.
How to submit this form
- 1
Download The Report
Download the Backflow Prevention Assembly Test and Maintenance Report PDF.
- 2
Complete The Test Report
Enter the property, assembly, test, repair, gauge, status, and tester information requested on the form.
- 3
Check The Report
Review the report for legibility and completeness; the form says incomplete or illegible reports will not be accepted.
- 4
Submit To The City
Submit the completed report to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Backflow Prevention Assembly Test and Maintenance Report record?
- It records property and assembly details, test readings, repairs, gauge information, test status, and tester and firm information.
- When is backflow assembly testing required?
- The report says testing is required upon installation, repair, or relocation, and annually thereafter. It also says test reports must be kept for at least three years.
- Do I need a notary for the Backflow Prevention Assembly Test and Maintenance Report?
- No. The tester certifies the test results as true at the time of testing, and the form lists no sworn attachment.
- How do I submit the Backflow Prevention Assembly Test and Maintenance Report?
- Submit it to the city department named on the form; check the city website for current contact details.
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.