Backflow Tester Registration

City of Ames, IA

Backflow Assembly Testers Digital Registration Submission

Complete the form today to request a login and submit backflow tests online to the City of Ames.

Once this new program is launched you will receive an email confirmation with details on how to complete the process and create a password to access SwiftComply Backflow, the city’s digital submission software. This is so you can stay in compliance with the City of Ames Backflow Prevention requirements.

Each tester 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.

Type of Account

You have the option to choose between an Admin account and a Tester Account. Please note that both Admins and Tester will need to create individual user accounts in order to submit tests through SwiftComply.

ADMIN ACCOUNT: Not currently a tester but enter in tests for testers at their company.

TESTER ACCOUNT: A tester that is certified to complete backflow tests and will need to either submit tests themselves, or have an admin submit tests on their behalf.

Will this user account be for a Tester or an Admin? *

Tester - I will be submitting my own tests
Admin - I will be submitting tests for others

Name *

First

Last

Email *

****Must be a UNIQUE individual email address. You'll need one unique email address for each tester or admin you enter.****

Phone

Company name *

Company Mailing Address *

Name (copy) *

First

Middle

Last

Registration Number *

Registration Expiration Date *

Certifying Agency *

Registration Image Upload *

Click or drag a file to this area to upload.

Please attach a copy of your certification

Test Kit Serial Number *

Manufacturer and Model *

First

Last

Calibration Date *

Test Kit Calibration Documentation *

Click or drag a file to this area to upload.

Would you like to add another Admin or Tester under the same company? *

Will this user account be for a Tester or an Admin? (2) *

Tester - I will be submitting my own tests
Admin - I will be submitting tests for others

Name (2) *

First

Last

Email (2) *

****Must be a UNIQUE individual email address. You'll need one unique email address for each tester or admin you enter.****

Registration Number (2) *

Registration Expiration Date (2) *

Certifying Agency (2) *

Registration Image Upload (2) *

Click or drag a file to this area to upload.

Please attach a copy of your certification

Test Kit Serial Number (2) *

Manufacturer and Model (2) *

First

Last

Calibration Date (2) *

Test Kit Calibration Documentation (2) *

Click or drag a file to this area to upload.

Would you like to add another Admin or Tester under the same company? *

Will this user account be for a Tester or an Admin? (3) *

Tester - I will be submitting my own tests
Admin - I will be submitting tests for others

Name (3) *

First

Last

Email (3) *

****Must be a UNIQUE individual email address. You'll need one unique email address for each tester or admin you enter.****

Registration Number (3) *

Registration Expiration Date (3) *

Certifying Agency (3) *

Registration Image Upload (3) *

Click or drag a file to this area to upload.

Please attach a copy of your certification

Test Kit Serial Number (3) *

Manufacturer and Model (3) *

First

Last

Calibration Date (3) *

Test Kit Calibration Documentation (3) *

Click or drag a file to this area to upload.

Website

Contact support@swiftcomply.com for assistance

FAQ

What is SwiftComply Backflow?

We work with cities and water authorities across the globe that are looking to modernize their operations and future proof of their compliance programs against the changing regulatory landscape.

Please visit our website or contact your city representative for further information.

Why fill this form out?

To have updated information with the city and it is necessary in order to submit a test through the new program.

City of Ames, IA

Backflow Assembly Testers Digital Registration Submission

Type of Account

Contact support@swiftcomply.com for assistance

FAQ

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