Get This Form Must Be Filled Out Completely Failed Account

Filling out the THIS FORM MUST BE FILLED OUT COMPLETELY FAILED ACCOUNT is an essential step for properly documenting the status of backflow prevention assemblies. This guide provides a detailed, step-by-step approach to ensure users complete the form accurately and effectively.

Follow the steps to fill out the form online accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Enter the date on which the testing was conducted in the designated field.
3. Input the account name or business name clearly in the corresponding section.
4. Provide the complete service address in the appropriate field.
5. Fill in the account number and meter number as indicated.
6. Specify the assembly name, model number, size, and serial number for the backflow prevention assembly.
7. Clearly indicate the assembly location in the specified area.
8. Select the type of backflow prevention assembly from the options provided (PVB, DCVA, RP, AIR-GAP).
9. For Check Valve No. 1 and Check Valve No. 2, mark whether the tests were performed before or after repairs, and complete the leakage and closure information accurately.
10. Provide the tester's affidavit, including the tester’s name, DHEC certification number, and company details.
11. Ensure the repaired or tested by section is filled out with the responsible individual's name and testing details.
12. If applicable, indicate if this is a new assembly and provide the relevant information for the assembly being replaced.
13. Once all sections are completed, save your changes, download a copy, or print the form for your records.

Complete your documents online to maintain compliance and ensure accurate record-keeping.