Backflow Prevention – annual test and maintenance form – instructions!

If you have a form that you use, you may submit that and we will review and approve, if it captures the same information.
Please submit forms in .pdf format.

Forms accepted by email, fax (724-224-5922) or mail forms to the office address listed on the home page..

Allegheny County Health Department requires that your backflow preventer for all systems be tested by a certified plumber once per year. 

You may also email the completed form to the following address:  manager@FFJWA.com

RESULTS ARE DUE NO LATER THAN NOVEMBER 30, 2021.

Please note that this testing is a requirement of the Allegheny Health Department, and failure to comply will result in termination of your water service, if not received by the due date.

Sincerely,

FAWN FRAZER JOINT WATER AUTHORITY

Attached is the BACKFLOW form for your yearly maintenance.