Get Fairfax County Backflow Test Form

This guide provides clear and supportive instructions on how to accurately complete the Fairfax County Backflow Test Form online. By following the steps outlined, you will ensure that your backflow prevention devices are properly tested and documented.

Follow the steps to successfully complete the form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully read the instructions on the form to understand the testing requirements for backflow prevention devices.
3. Fill in the AP# (Absolutely Necessary Number) in the designated field at the top of the form.
4. Provide the property name where the backflow prevention device is located.
5. Enter the complete address of the property, ensuring all details are correct.
6. Fill in the map grid information, which can be found through local zoning resources or property documents.
7. Document the size, manufacturer’s name, type of device, and serial number of the backflow prevention device.
8. Select the result of the initial test by marking pass or fail in the appropriate box.
9. If the device required repairs, indicate yes or no in the corresponding field.
10. If applicable, record the results after repairs in the tested after repair section by marking pass or fail.
11. Ensure all repairs or replacements are completed within ten days of the initial test and document this if necessary.
12. Certify that the above data is correct by signing in the signature of tester field.
13. Input the test date of the backflow device in the provided field.
14. List the Cross Connection School that certified the tester.
15. Once all fields are accurately completed, save your changes, and choose to download, print, or share the form as needed.

Begin your process by completing the Fairfax County Backflow Test Form online today.