Tyler, TX · Smith County
Brand New Backflow Prevention Assemblies Registration Form
Backflow testers, builders, and contractors use this form to register each new residential or commercial backflow prevention assembly in Tyler.
What this form is
Tyler uses this form to record and confirm each new residential or commercial backflow prevention assembly and its required testing before a permit or Certificate of Occupancy. Complete a separate form for each new assembly, providing its address, owner email, make, model, size, serial number, type, service, location, and tester details.
Who needs it
Backflow testers, builders, construction firms, irrigators, plumbers, and fireline contractors use this form for each new assembly.
How to submit it
Before testing, email the completed form to [email protected] or fax it to (972) 217-8387. Do not turn test forms in to the city.
About notarization
This form is signed without a notary; the instructions mention supporting license and calibration documents, but do not say they must be notarized or sworn.
How to submit this form
- 1
Download the Form
Download the Brand New Backflow Prevention Assemblies Registration Form.
- 2
Complete the Form
Fill in the new assembly's address and details, building owner email, and technician or tester information.
- 3
Gather Supporting Documents
The instructions say testers must provide a current driver license, gauge accuracy or calibration report, state license, and professional documentation.
- 4
Submit Before Testing
Email the completed form to [email protected] or fax it to (972) 217-8387 before testing the new assembly.
Frequently asked questions
- Do I need a notary for the Backflow Assembly Registration Form?
- No. The form has no notary block or notarization instructions. It asks for assembly and tester information; supporting documents are not described as notarized or sworn.
- How do I submit the Backflow Assembly Registration Form?
- Before testing the new assembly, email the completed form to [email protected] or fax it to (972) 217-8387. The instructions say not to turn test forms in to the city.
- When should I send this form?
- The instructions say to send a completed form for each new assembly before testing it. The form is for new residential or commercial assemblies.
- What information does the form request?
- It requests the assembly address, building owner email, make, model, size, serial number, type, what it serves, location, and technician or tester name and email.
Need something notarized?
This Brand New Backflow Prevention Assemblies Registration Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.