Backflow Test Report Forms

 ADOBE READER 8.1 IS REQUIRED TO VIEW THE FOLLOWING FORMS.
DOWNLOAD THE READER HERE.


IF YOU ARE UNABLE TO ACCESS THE FORMS PLEASE CONTACT OUR OFFICE AT 913-895-1815 BETWEEN THE HOURS OF 8:00AM TO 4:00PM MONDAY THROUGH FRIDAY.

 
Please select the appropriate type of Backflow test form:
 
Annual Test
(requires notification number)
 
New Assembly Test
(new installation, no previous assembly)
 
Replacement Assembly Test
(new assembly replacing existing assembly)
 
Assembly Re-Test After Repair
(test after repair that is not an annual test)