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License #CFC1428000

Hillsborough: (813) 443-5820

Pinellas & Pasco: (727) 443-2174

Backflow Test Forms

Instructions To Complete and Submit Online

These forms are powered by Adobe Acrobat Sign. Click on one of the View Form buttons below to open the form in a new tab on Adobe’s Secure Website. You can complete and submit these forms online and will need to provide your email address for verification purposes in order to do so. Once you complete a form and submit it you will receive a copy of the form sent to the email address you used for verification. Olin Plumbing will also receive the form you completed.

NOTE: These online forms are best viewed and completed on either a desktop, laptop, or tablet with a resolution of at least 1920x1080. You may find it a little inconvenient if you try to view and complete these forms on a smartphone with a smaller resolution.

Available Backflow Test Forms

City of Tampa Backflow Assembly Test Report

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Hillsborough County Backflow Test Form

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Woman with laptop