Below you will find the important forms, lists, and instruction sheets with steps on filling out the forms.

• Backflow Prevention Assembly Test Form 
  • Prevention Instruction sheet
• Certified Tester Information Form 
  • Certified Tester Instruction sheet 
• List of Companies with Certified Backflow Prevention Assembly Testers 
• List of Approved Backflow Prevention Assemblies
• List of Customers who Require Backflow Prevention Assembly Testing 

Specifications for Backflow Prevention Assemblies:

• DCDA 4.20 
• PVB 4.19 
• RPPA 4.18 

I would like to be on the Miami-Dade Water & Sewer Department, Cross-Connection Control Unit’s list of Companies with Certified Testers.

Simply fill out the  Certified Tester Information Form , along with copies of your

• Business/Contractor License, if applicable,
• Certificate of Liability Insurance,
• Backflow Prevention Assembly Test Kit (s) Calibration Certificate,
• Backflow Prevention Assembly Tester Certificate (s), and
• Contractor License of the Backflow Prevention Assembly Testers, if applicable.

and fax (786-268-5485)

or mail to the

Miami-Dade Water & Sewer Department
Cross-Connection Control Unit
1001 NW 11th Street
Miami, FL 33136

Where do I send the Backflow Prevention Assembly Test Form?

The Backflow Prevention Assembly Test Form(s) can be sent via fax (786-268-5485) or mail:

Miami-Dade Water & Sewer Department
Cross-Connection Control Unit
1001 NW 11th Street
Miami, FL 33136