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SCSA#3 Annual Backflow Certification Sign Up

  1. SCSA#3 Annual Backflow Certification Sign Up

    Silver Creek residents who want SCSA#3 to perform their annual backflow certification must complete this application form.

  2. Where is the backflow preventer valve located?*
  3. By submitting this form I understand that a charge for the backflow certification will appear each September on my water bill.*
  4. I understand that SCSA#3 will continue to perform my annual backflow inspection and that I will be charged for this service until I notify SCSA#3 to discontinue this service.*
  5. Leave This Blank:

  6. This field is not part of the form submission.