DCWASA: Cross-Connection Forms
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Annual Backflow Prevention Device Test and Mantenance Report Form [PDF 28k]
Annual form required to be filed with the cross-connection office
Backflow Assembly Installation Form [PDF 12k]
New construction/major renovation
Cross-Connection Sample Survey Form [PDF 60k]
Existing building
Backflow Prevention Assembly Tag description [PDF 28k]
Suggested information for assembly tags