Backflow Device
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Localities with special requirements

The Public Utilities Departments listed below have requirements that, if not followed, can cause problems and/or delays submitting test results.

Newport News requires the original test form (one per device) sent to each customer be used to submit the test results.  A good quality copy of the original may be used.  Generic forms may not be used.  The original form has coded information specific to the individual location.  If the form is lost, the customer must contact Newport News Public Utilities to have a replacement form sent. Faxes or emails of completed test forms are not accepted by Newport News, hard copies must be submitted.

Please have the form available onsite when the tester arrives.  Virginia Backflow Service will complete and submit the report, and furnish a copy to the customer by email.

Norfolk requires the original test form (one per device) sent to each customer be used to submit the test results.  A copy of the original or Generic form may not be used.  The original form is blue and has information specific to the individual location.  If the form is lost, the customer must contact Norfolk Public Utilities to have a replacement form sent. Faxes or emails of completed test forms are not accepted by Norfolk, the original blue form must be submitted.

Please have the form available onsite when the tester arrives.  Virginia Backflow Service will complete and submit the report, and furnish a copy to the customer by email.