Get Backflow Testing Registration Form - City Of Addison - Addisontx

Filling out the Backflow Testing Registration Form for the City of Addison is an essential step for anyone wishing to register as a backflow prevention assembly tester. This guide provides clear instructions on how to successfully complete the form online.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your business name, ensuring that it is accurately documented. Fill in the manager's name and include your business telephone number.
3. Complete the address section by entering your business location. Include the city, state, and zip code.
4. If applicable, enter the name of the parent company and its Texas incorporation number, along with the address and phone number.
5. Fill in the personal details of the tester, including their name, mobile phone number, and email address.
6. Input the tester’s TCEQ BPAT license number and its expiration date accurately.
7. Include the tester's driver's license number, the state it was issued in, and the date of birth.
8. Indicate whether you would like to be included on a list distributed to customers for backflow testing by selecting 'Yes' or 'No'.
9. Attach clear copies of the required documents: TCEQ BPAT license, gauge calibration report, and photo identification.
10. If applicable, submit copies of additional documents such as the confined space training certificate, licenses for plumbers or lawn sprinkler contractors, if relevant.
11. Include the payment of $75 for registration and consider purchasing the backflow prevention assembly test and maintenance reports for $25.
12. Sign and print your full name on the form, date it, and ensure that all information is accurate before submission.
13. Save changes, download, print, or share the form as needed.

Complete your Backflow Testing Registration Form online to ensure compliance with the City of Addison.