Get Gen 236 Form

Filling out the Gen 236 Form for backflow prevention device approval can seem daunting, but this guide is designed to walk you through the process step by step. With clear instructions and helpful tips, you can easily complete the form online.

Follow the steps to successfully complete the Gen 236 Form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin filling out the required fields numbered 0 through 4a, ensuring that you accurately include the block and lot numbers.
3. In section 3, specify the exact location of the facility including the street address, city, state, and zip code.
4. Identify the contact person for the facility in section 4, and include their phone number in section 4a.
5. For section 5, clearly indicate the location of the device(s) and attach additional sheets if necessary.
6. List the manufacturer, model number, and size of each device in section 6.
7. Fill out the number of various services in sections 5a to 5d, ensuring that you calculate the total in section 5d.
8. Provide the name, title, and phone number of the owner in section 7, along with their full mailing address.
9. Include the owner's signature in section 8a and the date in section 9.
10. In section 10, print the name and address of the design engineer or architect and ensure original ink signatures and seals are provided.
11. Complete section 11 by indicating the water system pressure at the point of connection.
12. Make estimates for the installation cost in section 12, making sure no blanks are left.
13. Select a degree of hazard in section 13 and list the reasons supporting your selection.
14. Fill out section 14 regarding the public water supply name and supplier's designated representative.
15. Review all entered information, save your changes, and proceed to download, print, or share your completed form.

Begin filling out your Gen 236 Form online today to ensure timely processing of your application.