COVID-19: In an effort to reduce the spread of COVID-19, The Utah Department of Environmental Quality is limiting person-to-person contact and will close our offices to the public starting on April 3. Please contact DEQ here to conduct business.

Backflow Assembly Tester Certification Application

Step 1

Fill out the application form completely (official correspondence will be mailed to you at the address you provide on this page).

Step 2

New applicants must provide a notarized copy of his/her citizenship form, INCLUDING GOVERNMENT PICTURE I.D.

Initial CertificationRenewalReciprocity

Personal Information


Course Information

Would you like to be COMMERCIALLY AVAILABLE to test backflow prevention assemblies?


Continuing Education Units (CEUs)


Agree and Submit

I Agree