Residential Backflow Testing Agreement Online Form

Springfield Utility Board is currently providing an opportunity for customers to participate in a Residential Backflow Assembly Testing Program that would assist customers in the completion of their required annual backflow assembly testing, without the burden of contacting and scheduling a certified testing contractor themselves. Residential customers may choose to have SUB arrange for your backflow assembly(s) to be tested annually by an independent contractor certified as a Backflow Assembly Tester in the State of Oregon and for SUB to act as their backflow assembly test billing service.

In accordance with Oregon Administrative Rule 333-061-0070 promulgated by the Oregon Health Authority, all approved backflow prevention assemblies must be maintained and tested at least annually to protect the public water system against contamination.

If you choose this option;

• The Water Division will schedule your assembly to be tested by an independent contractor.
• The testing fee of $41.86 per test will be added to your SUB bill each year that you participate in this program.
• Upon completion of the test, the test results will be left at your door. The passing test report will certify that the backflow assembly is functioning properly in accordance with State of Oregon rules.
• When an appointment or access is needed to test the assembly, the customer must make the assembly accessible within 14 days of initial contact by the tester.

Repairs are separate from assembly testing charges. The testing contractor will notify you if repairs or replacement are needed. If your backflow assembly needs to be replaced SUB requires that a Reduced Pressure Backflow Assembly (RPBA) be installed and must meet our current standards. You may contract with the tester to complete all necessary repairs/replacements, or you may contact another contractor of your choice. In such event, the tester performing the work will bill you directly (repair costs will not appear on your SUB bill). All repairs must be completed within 10 working days of the failed test. All replacements are subject to inspection by SUB. Should a replacement assembly not pass inspection, SUB will require corrections to be made.

To apply for this program, please complete this form by June 1^st, 2024