Online Form - Backflow Registration

Backflow Registration

Asterisks (*) indicate required fields

Date *

Backflow Tester Information

Last Name *

First Name *

Address *

City *

State *

Zip *

Contact Phone *

Public Phone *

Email *

Tester Certification

Existing Users - Registered with the County of Sacramento

Backflow Tester # (e.g., P10000111)

New Users - Never registered with the County of Sacramento
Please allow 3 business days for processing. To pay EMD registration please go to https://emdpayments.saccounty.net and follow the payment instructions for Backflow Registration Process

Field Test Kit Calibration *

AWWA Certificate Upload *