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 Doh 1013 1991-2025

Doh 1013 1991-2025 Form

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What is the Doh 1013

The Doh 1013 form, also known as the New York State Department of Health 1013 form, is a crucial document used primarily for backflow prevention testing. This form is essential for ensuring that water systems remain safe and free from contamination. It is typically required by local health departments and is part of compliance with state regulations regarding water safety. The form captures necessary information about the backflow prevention device, including its type, location, and testing results.

How to use the Doh 1013

Using the Doh 1013 form involves several steps to ensure proper completion and submission. First, identify the specific backflow prevention device that needs testing. Gather all relevant information, including the device's serial number and installation date. Next, conduct the backflow test according to the manufacturer's guidelines and record the results on the form. Once completed, the form should be submitted to the appropriate local health authority for review and approval.

Steps to complete the Doh 1013

Completing the Doh 1013 form requires careful attention to detail. Follow these steps:

  • Begin by entering the name and contact information of the tester.
  • Provide the location of the backflow prevention device, including the address.
  • Document the type and model of the device, along with its serial number.
  • Record the testing date and the results, ensuring accuracy in the measurements.
  • Sign and date the form to certify that the information provided is correct.

Legal use of the Doh 1013

The Doh 1013 form is legally binding and must be filled out accurately to comply with state regulations. Failure to complete and submit this form can result in penalties, including fines or additional testing requirements. It is essential to understand that the form serves as a legal record of compliance with backflow prevention standards, protecting public health and safety.

Who Issues the Form

The Doh 1013 form is issued by the New York State Department of Health. Local health departments may also provide specific guidance on how to fill out and submit the form, as requirements can vary by jurisdiction. It is advisable to consult with local authorities to ensure compliance with all local regulations regarding backflow testing.

Form Submission Methods

The completed Doh 1013 form can typically be submitted through several methods, including:

  • Online submission through the local health department's website.
  • Mailing a physical copy to the designated health authority.
  • In-person submission at local health department offices.

Each submission method may have specific requirements, so it is important to verify the preferred method with the relevant authorities.

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