Backflow Prevention Device Testing & Certification Form

Streamline Backflow Testing & Municipal Compliance with Paperform

Backflow prevention device testing is a critical requirement for protecting potable water supplies from contamination. Whether you're a licensed backflow tester, plumbing contractor, facility manager, or water utility, this Backflow Prevention Device Testing & Certification Form helps you capture all required information for annual certifications, cross-connection control programs, and municipal reporting—all in one professional, compliant digital form.

Built for backflow testing professionals and facility compliance

This template is designed specifically for:

• Licensed backflow testers who need to document device inspections, test results, and repairs for customers and municipalities
• Plumbing contractors managing annual testing programs across commercial and residential properties
• Facility managers responsible for maintaining backflow prevention compliance at schools, hospitals, industrial sites, and multi-tenant buildings
• Water utilities and municipalities collecting standardized test reports from certified testers
• Property management companies coordinating annual testing requirements across portfolios

The form captures all essential details required by most municipal water departments and state plumbing codes, including device information, test procedures, gauge readings, pass/fail status, and corrective actions taken.

Comprehensive testing documentation that meets code requirements

This template includes fields for:

• Property and device location details
• Device type, make, model, and serial number
• Test kit information and gauge calibration dates
• Detailed test procedure results with pressure readings
• Pass/fail certification with tester signature
• Repair and maintenance documentation
• Municipal reporting and submission details

Conditional logic reveals relevant sections based on device type and test outcomes, ensuring testers capture exactly what's needed without wading through irrelevant fields. When devices fail testing, additional fields appear for documenting repairs, replacement parts, and follow-up testing dates.

Automate reporting and keep compliance records organized

Connect this form to your workflow tools using Stepper (stepper.io) to automatically:

• Generate PDF test reports and email them to property owners, facility managers, and municipal water departments
• Log test results in your CRM, field service software, or Google Sheets for compliance tracking
• Trigger reminder emails for properties approaching their annual testing deadlines
• Route failed test notifications to your repair team for immediate follow-up
• Update municipal databases via API or webhook submissions

This automation eliminates manual data entry, reduces reporting errors, and ensures you never miss a compliance deadline or municipal filing.

Professional, mobile-ready forms for field testing

Backflow testing happens on-site, often in mechanical rooms, basements, or outdoor utility areas. This template works beautifully on mobile devices, letting testers complete certifications in the field with photos of gauge readings, device tags, and site conditions uploaded directly from their phone.

You can customize the form's theme to match your company branding, embed it on your website for customer-initiated testing requests, or send unique links to property managers as their annual testing deadline approaches.

Trusted by plumbing professionals who value compliance and efficiency

Paperform is trusted by over 500,000 teams worldwide and is SOC 2 Type II and GDPR compliant—giving you and your municipal clients confidence that sensitive property and testing data is handled securely. With generous submission limits and predictable pricing, you can scale your backflow testing program without worrying about per-form costs.

Get started with this template today and turn backflow compliance from a paperwork headache into a streamlined, professional process that protects water quality and keeps your business running smoothly.