Backflow Prevention Device Test & Maintenance Report

The Backflow Prevention Device Test & Maintenance Report available here is to be used when reporting device test results to Denver Water. This form is available in two formats to enable the addition of a company logo, name, address, etc. These files contain images of the test report form and can be used to create printed forms. They are not data entry forms; to create a data entry form, you need your own form tool and the image can then be used as an overlay. The body of the form should not be changed. For more information or assistance with the form, please contact Denver Water’s Backflow Prevention Office at (303) 628-5969.

Word Format

PDF Format