Get Doh-1013 1991-2026

The DOH-1013 form is essential for reporting the test and maintenance of backflow prevention devices. This guide provides a clear and comprehensive approach on how to complete the DOH-1013 online, ensuring you have all the necessary information for accurate reporting.

Follow the steps to complete the DOH-1013 form online.

1. Press the ‘Get Form’ button to access the DOH-1013 online.
2. Indicate the year of the test and specify if it is an initial or annual test in the designated section.
3. Fill out the public water supply name, account number (if applicable), and county information.
4. For tests in the New York City metropolitan area, complete the block and lot numbers if available.
5. Provide the facility name, address, and specific location of the device (e.g., meter room).
6. Input device information, including the manufacturer, type (RPZ or DCV), model, size (in inches), and serial number.
7. In the 'Test Before Repair' section, indicate whether check valve #1 and check valve #2 leaked or closed tight.
8. For RPZ devices, ensure the pressure drop across the check valve is at least 5.0 psi and record the opening of the differential pressure relief valve.
9. Complete the line pressure in psi and enter the test date.
10. Document any repairs made, including materials used, the name, and license number of the person who repaired the device, along with the repair date.
11. Complete the 'Final Test' section if applicable, indicating if the device met the necessary requirements.
12. Record the water meter number and meter reading, along with the type of service provided.
13. Fill in the Remarks section to describe any deficiencies identified during testing.
14. Certify by indicating whether the device meets or does not meet the requirements at the time of testing and provide your name, certification number, and expiration date.
15. Obtain the property owner’s (or owner’s agent) certification indicating the test was performed.
16. If applicable, have a design engineer, architect, or water supplier complete Part B, providing their name, title, license number, phone number, and any minor installation changes.
17. Once all sections are completed, save your changes, download the form, optionally print it, or share it as necessary.

Complete your DOH-1013 form online today for efficient and accurate reporting.