Use this form to request backflow testing, repair, replacement, failed-test follow-up, irrigation service, or fire-line service. Requests are reviewed for utility jurisdiction, service type, due date, access needs, and qualified-provider availability.
Before you submit
- Check the water bill or notice for the serving utility.
- Include the complete service address and compliance due date.
- Select residential or commercial and the closest service category.
- Mention a failed test, active leak, prior repair, or fire-line connection.
- Do not use this form for an active water emergency.
Request Backflow Service
What happens after you submit?
- The request is reviewed for location, utility, service category, and deadline.
- If the request can be matched appropriately, a provider can follow up using the contact information supplied.
- No appointment is created until scope, availability, and provider fit are confirmed.
Please note: Submitting this form does not create a service appointment or guarantee coverage. Apopka Backflow is not a government agency, and only the serving utility can change a compliance deadline or approve an extension.
For background before submitting, review what a test involves, failed-test next steps, or the City of Apopka requirements guide.