<CITY ORG>

Backflow Assembly Tester Sign-Up

Please complete the below form to submit your most current contact and tester certification information to the <CITY/ORG>.

Once this new program is launched you will receive an email confirmation from your water purveyor with details on how to complete the registration process to access SwiftComply Backflow, the city’s digital backflow test report submission software. This is so you can stay in compliance with <CITY/ORG> Cross Connection & Backflow Prevention Requirements.

Each tester and testing company admin is required to have a unique email address in order to participate.  If you or a tester within your organization does not have an active email address you will need to create one.

Tester Information

We use this information to make sure we have the most current contact and certification information in our database.
*Must be a UNIQUE, individual email address.

Testing Company Information

We use this information to create your Service Provider profile in SwiftComply.
*If you are self-employed, write "Self."

Tester Credentials

A current, valid backflow assembly testing certification and test kit calibration is required in order to submit test reports through SwiftComply.
Year
Month
Day
Click or drag a file to this area to upload.
Please attach a current copy of your backflow testing certification document.
Year
Month
Day
Click or drag a file to this area to upload.
Please attach a copy of your most recent test kit calibration documentation.

Additional Testers

You can add up to 3 testers on one form. Please reload this form if you need to add additional testers.