Submit Tester Certification

For Certified Backflow Testers registering with the District:

Submit your State Water Board–recognized certification to the District before testing any backflow prevention assembly (BPA) in the District service area. Keep your certification and gauge calibration current — reports submitted with an expired certification cannot be accepted.

TESTER INFORMATION

Full Name (required)

Business/Company Name (required)

Email Address (required)

Contact Number (required)

Mailing Address (required)

CERTIFICATION DETAILS

Enter your current backflow tester certification. It must be issued by an organization recognized by the State Water Board; other certifications cannot be accepted for testing in the District service area.

Certification Number (required)

Certification Organization (required)

Certification Organization if selected "Other"

Certification Issue Date

Certfication Expiraton Date (required)

TEST EQUIPMENT

Provide details for the test gauge you'll use. Gauges must be calibrated at least annually; we may request a copy of your calibration certificate.

Gauge Make/Manufacturer (required)

Gauge Model (required)

Gauge Serial Number (required)

Last Calibration Date (required)

DOCUMENTS UPLOAD

Attach clear copies (PDF or image). Your certification is required; a gauge calibration certificate is strongly recommended.

CONFIRM & SUBMIT

ATTESTATION

I certify that the information provided above is accurate and complete, and that my certification and test gauge calibration are current and valid as of the date of this submission.

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