Follow the steps to complete the CA Backflow Test Form Request online.

1. Click ‘Get Form’ button to access the CA Backflow Test Form Request and open it in your preferred editor.
2. Fill in your customer information. This includes your name, mailing address, and contact details such as your phone number, cell number, and fax number.
3. Locate the water meter section, and provide the relevant backflow information. Enter the city meter number and the water account number for the device you are requesting. Specify if it’s a fire device and any related water account numbers.
4. Indicate the distance from the water meter in feet if applicable, and check the appropriate boxes for reissue, new installation, or replacement.
5. In the manufacturer section, enter the manufacturer's name and serial number of the device. If this form replaces a previous serial number, make sure to indicate that as well.
6. Specify the type of device by checking the relevant boxes: RP, DC, RPDA, or DCDA, and fill out the size and model number.
7. In the site address and location section, confirm whether the installation meets city specifications by marking 'Yes' or 'No'. If 'No', provide a brief description of the problem.
8. Complete the tester information section. This requires the company’s name, contact details including phone and fax numbers, the address, and the tester's printed name along with their gauge number and date submitted.
9. Review the 'For Cross-Connection Use Only' section. Ensure the form is complete or be aware that it may be returned as incomplete.
10. Once you have filled out all sections, save your changes, download the form, and choose to print or share it as necessary.

Take the next step and fill out your CA Backflow Test Form Request online today!