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Contractor record of installation

This form is intended for authorised contractors to provide information about installed backflow prevention devices.  If this is not what you were looking for visit the backflow prevention homepage.

Please submit a separate form for each individual device installed.

Contractor information




This is your reference number, not the Council job number.


Installation information


This is located on the spreadsheet supplied by Council.






Device information





Please provide the following photos

Maximum file size: 10 MB. Supported file types: csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx.

Maximum file size: 10 MB. Supported file types: csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx.

Maximum file size: 10 MB. Supported file types: csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx.

Maximum file size: 10 MB. Supported file types: csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx.

Maximum file size: 10 MB. Supported file types: csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx.
Independent Qualified Person (IQP) test sheets

Maximum file size: 10 MB. Supported file types: csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx.