Get Qutxxx Form

Filling out the Qutxxx form online is a straightforward process that ensures you meet the requirements for backflow prevention assembly testing. This guide will walk you through each section of the form, providing clear instructions to facilitate a smooth application.

Follow the steps to complete the Qutxxx form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your business name and manager's name in the designated fields. Ensure you provide a valid business telephone number.
3. Fill out the business address details accurately, including city, state, and zip code. Include the parent company name and Texas incorporation number if applicable.
4. Provide the name of the tester, along with their mobile phone number and email address. Make sure the contact information is up to date.
5. Input the tester’s TCEQ BPAT license number and its expiration date accurately.
6. Enter the tester’s driver’s license number, state of issuance, and date of birth in the specified format.
7. Indicate whether you want to be included on the customer distribution list for backflow testing by selecting 'Yes' or 'No.'
8. Attach legible copies of the required documents as specified, including the TCEQ BPAT license, gauge calibration report, and photo ID.
9. If applicable, include additional documents such as confined space training certificate and relevant plumbing or lawn sprinkler licenses.
10. Complete the payment section by indicating your payment method and total amount, ensuring that all associated fees are correctly calculated.
11. Sign and date the form to confirm your application and adherence to the required regulations.
12. Finally, save your changes, and choose to download, print, or share the completed form as needed.

Complete your registration for the Qutxxx form online today and ensure compliance with backflow prevention requirements.