Boyd, TX · Wise County
Backflow Tester Contractor Registration Form
Backflow assembly testers use this form to register annually with Boyd Water Utilities and provide information about their business and testing equipment.
What this form is
Boyd requires backflow assembly testers to register annually, provide proof of TCEQ certification and equipment calibration, and pay any required annual registration fee. The form asks for the tester’s contact and certification details, business information, and equipment make, model, serial number, and calibration expiration. Applicants must attach proof of a valid TCEQ license and equipment calibration certificate; fireline testers must also provide specified additional documentation.
Who needs it
Backflow assembly testers registering with Boyd Water Utilities need to complete this form and provide the required certification and equipment documents.
How to submit it
Return the form to City of Boyd Water Utility Services, Attn: Backflow Program, PO Box 216, Boyd, TX 76023, or email it to [email protected].
About notarization
This document is signed and dated without a notary; the signer attaches proof of a valid TCEQ license and equipment calibration certificate.
How to submit this form
- 1
Download The Form
Download the Backflow Tester Contractor Registration Form.
- 2
Complete The Form
Print or type the registrant, business, and equipment information requested.
- 3
Gather Attachments
Attach proof of a valid TCEQ license and equipment calibration certificate. Fireline testers must provide the additional documents specified on the form.
- 4
Sign And Date
Sign and date the registration form.
- 5
Submit To The City
Return it to Boyd Water Utility Services by mail or email using the contact details on the form.
Frequently asked questions
- Who uses the Backflow Tester Contractor Registration Form?
- Backflow assembly testers use it to register annually with Boyd Water Utilities and provide their certification, business, and testing-equipment information.
- What documents must I attach?
- Attach proof of a valid TCEQ license and a valid equipment calibration certificate. Fireline testers must also attach a letter stating permanent employment and proof of registration with the State Fire Marshal's office.
- Do I need a notary for the Backflow Tester Contractor Registration Form?
- No. The form requires the registrant’s signature and date, not notarization. Attach proof of a valid TCEQ license and equipment calibration certificate.
- How do I submit the Backflow Tester Contractor Registration Form?
- Return it to Boyd Water Utility Services, Attn: Backflow Program, PO Box 216, Boyd, TX 76023, or email it to [email protected].
