Village of Yellow Springs, Ohio

Below are download links for the Backflow Prevention Device Test Report Forms, chose from a Word Document or Adobe PDF format.

Please complete and return by email:

Johnnie Burns
jburns@yso.com

Or by mail:

Village of Yellow Springs
Attn: Johnnie Burns
100 Dayton St,
Yellow Springs, OH 45387

Associated Documents

• Backflow Prevention Device Test Report Forms (Revised 02-18-2021)
  • Backflow Prevention Device Test Report Forms (Word *.doc)
  • Backflow Prevention Device Test Report Forms (*pdf)