Some examples of backflor testing forms include the one in use by the City of Fullerton, California, and the example forms designed by XC2 Software. XC2 Software has several types of backflow testing forms, with geographic specifications for Los Angeles, California; Chicago, Illinois, and Phoenix, Arizona, among others.
In addition to individual backflow testing forms, XC2 software also grants Web users access to all of the reports within a single downloadable .PDF file. Most of these forms request similar information such as who owns the property being tested, the date of the test in question and the exact device location on the property. Each form contains multiple fields where technicians can mark initial tests, identify repairs made and determine the effectiveness of the repairs afterwards.
The backflow test report form of the City of Fullerton has five separate fields for the reporting of test results, including two valve checks, a relief valve verification, an additional verification field and a final field for checking the device's shut off valves. The testing engineer marks individual components' pressures and whether they closed tightly or leaked during the test. Additionally, the engineer marks whether components were cleaned or replaced and specifies further which exact components were replaced, if any.