Sample Tester Enrollment Form
Backflow Assembly Tester Digital Registration Submission
This is a SAMPLE tester enrollment form for water organizations launching online backflow assembly test report submissions with SwiftComply.
Please do not share this form with your testers; contact your SwiftComply point of contact to request a custom form for your organization.
Please complete the below form to request a login and submit backflow tests online to your city.
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 water organizations’s Cross Connection and 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.
Contact email@example.com for assistance
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.
To have updated information with the city and it is necessary in order to submit a test through the new program.