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How to fill out the NJ BWSE-CITR-IQ online

The NJ BWSE-CITR-IQ form is essential for documenting inspection and testing results of backflow prevention devices in New Jersey. This guide provides clear, step-by-step instructions on how to complete this form online to ensure compliance with New Jersey regulations.

Follow the steps to accurately complete the NJ BWSE-CITR-IQ form.

  1. Press the ‘Get Form’ button to access the NJ BWSE-CITR-IQ form online.
  2. Enter the physical connection facility ID number and permit activity number where indicated. If you do not have this information, leave it blank.
  3. Indicate the quarter for which the certification is being submitted. Choose from the options: 1st Quarter, 2nd Quarter, 3rd Quarter, or 4th Quarter.
  4. Provide the date of the backflow prevention device test and the test kit calibration date in the specified format.
  5. Fill out the details of the person or organization completing the form, including the physical connection permittee or applicant's name, address, and contact information.
  6. Complete the section detailing the backflow prevention device tested, including the manufacturer's name, model number, size, and serial number.
  7. Choose the appropriate category for the device tested: New Service Connection Device Install, Newly Permitted Existing Device, Modified Permitted Existing Device, or Replacement of Permitted Existing Device.
  8. Record the results of the initial test, indicating whether it passed or failed, along with the test date.
  9. Fill in the pressure test results and any comments or notations relevant to the test conducted.
  10. Once all sections are complete, review the information for accuracy, then save the changes. You can download, print, or share the form as required.

Complete your NJ BWSE-CITR-IQ form online today to ensure compliance and proper documentation.

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Like a backflow preventer, a check valve stops media from flowing through it in the reverse direction. Check valves, however, do not offer the degree of protection that backflow preventers do and therefore are not suitable for protecting drinking water sources.

Backflow preventer testing and certification is required by NJ law and important for keeping our drinking water supplies clean, free from contaminants, and safe for consumption.

Every water line on a property must have a backflow prevention device that is regularly maintained and annually tested.

Like any other mechanical device, over time a backflow unit may fail. To ensure it is working properly to protect home and public drinking water systems, the code mandates an annual test.

PREP WORK: 1) Notify customer that the water service will be off. Identify the make, model, and serial number on the backflow device. Inspect that this is an approved assembly: 2-check valves, 2-shut-off valves, 4-test cocks. Observe the area to make sure there are no leaks.

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