Request For Backflow Test
Schedule Your Backflow Test Today
If you would like to request a backflow test you may use our online form to do so. Please read the instructions below before you proceed to complete the form. If there are different addresses for devices to be tested, please complete this form separately for each address.
Olin Plumbing, Inc. CFC142800 BF 3752
Address:
3201 East 8th Avenue, Tampa, FL 33605
Telephone:
Hillsborough: (813) 443-5820
Pinellas & Pasco: (727) 443-2174
Fax:
(813) 746-0940
E-mail:
Info@OlinPlumbingInc.com
Instructions To Complete and Submit Online Form
This form is powered by Adobe Acrobat Sign. Click on the View Form button below to open the Request for Backflow Test Form in a new tab on Adobe’s Secure Website. You can complete and submit this form online and will need to provide your email address for verification purposes in order to do so. Once you complete the 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: This online form is 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 this form on a smartphone with a smaller resolution.
Request For Backflow Test Form
By completing this form you agree to the following:
I understand and acknowledge that typing my name in the Signature field of the Request For Backflow Test form is the equivalent of physically signing my name to the form and I thereby authorize Olin Plumbing, Inc. to perform the backflow test.
I authorize Olin Plumbing, Inc. to test backflow devices at the stated location.
I understand the water needs to be turned off when devices are being tested and will not hold Olin Plumbing, Inc. responsible for any damages or inconveniencies that may occur due to the water being or not being turned off.
I understand that there may be an additional charge for devices that cannot be easily accessed or devices that require additional time to locate.
I understand that the backflow devices are mechanical and will not hold Olin Plumbing, Inc. responsible for devices that do not recover from test.
I understand and agree to pay Olin Plumbing, Inc. $25 for each backflow test report filed with the City or County. Regardless of whether the backflow device passes or fails the required test or whether or not the device has been removed or cannot be found.
I understand and agree to pay the balance upon receipt and if payment is not made for the test and/or repairs within 7 days, I agree to pay all expenses and fees that Olin Plumbing, Inc. incurs to collect moneys owed. This includes office supplies, labor, postage, lien fees, attorney fees and court costs unless other arrangements have been made.
Privacy Notice:
Olin Plumbing, Inc. does not sell or knowingly transmit information to other sources. Any email inquiries or information collected from this website will be used solely for communication purposes and will not be added to any opt in mailing lists or sold to any third party.
