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Filling out the Indiana American Water form is essential for ensuring compliance with backflow prevention regulations. This guide provides you with clear, step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to complete the Indiana American Water form.

1. Click ‘Get Form’ button to obtain the document and open it in the designated editing tool.
2. Fill in the account number and premise number at the top of the form. This information is crucial for identifying the specific service location related to the test.
3. Complete the location information section with the address where the device is installed. Include all necessary details to ensure accurate processing.
4. In the device information section, specify the type of assembly and provide the serial number, size, and manufacturer/model number. Choose the type of service: domestic, fire, irrigation, or other, as appropriate.
5. For the test measurements section, record the initial date and time of testing along with the line pressure readings. It is essential to accurately check the functionality and integrity of the check valves.
6. After conducting the necessary tests on the check valves, fill in the final test results. Include whether the devices held pressure and if there were any leaks. Ensure to complete the air gap measurements, if applicable.
7. In the comments section, provide any additional notes regarding maintenance performed or observations made during the testing process.
8. Enter the tester information including your name, company, and certification number. Both the initial and final tests should be signed to certify the accuracy of the report.
9. Finally, review your completed form carefully. You can save changes, download the document, print it, or share it electronically to the provided email address at inaw.ccc@amwater.com.

Complete your Indiana American Water form online to ensure your compliance and save time.