Gen215b form 2026

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4.2 out of 5

53 votes

The document is a form from the New York City Department of Environmental Protection for reporting the testing and maintenance of backflow prevention devices. It includes sections for initial testing, annual re-certification, and certifications by certified testers, professional engineers or registered architects, and licensed master plumbers. The form requires detailed information about the device, test results, repairs made, and compliance with regulations. It emphasizes the need for original signatures and seals when submitting the completed form to ensure proper documentation.

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Click ‘Get Form’ to open the gen215b form in the editor.
Begin with Part A, which must be completed in all cases. Fill in the Annual Test year, Public Water Supply details, and the Name & Address of the Facility.
Next, provide the Location of Device, Block, Lot, Manufacturer & Model of Device, and Size & Serial # of Device.
Move to Part B for certified testers. Document test results for Check Valve No. 1 and No. 2, including pressure readings and any repairs made.
In Part C, if applicable, have a Professional Engineer or Registered Architect certify the installation by filling in their details and approval number.
Finally, complete Part D by having a Licensed Master Plumber sign off on the form with their information and required seals.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (42 Votes)
2018	4.3 Satisfied (64 Votes)
2008	4.2 Satisfied (53 Votes)

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