Backflow Prevention Education Council of Colorado Registration form

This page is to allow Backflow Technicians to submit their information to be included in the Geographical Tester Listing. Numerous organizations are   contacted frequently by consumers, to provide lists of backflow technicians and testers in their area. Being listed on the BPECC website is a benefit to contract backflow tester, and provides a needed source of information for consumers.

All data indicated in the form below must be filled out completely. Only a small portion of the information submitted will be included in the geographical listing for consumers, but the rest may be required to contact you for updated information. Use the comments field at the end of the form to submit any privacy concerns.

Due to this being a volunteer effort, submitted data is processed once a month, but sometimes more often depending on workload. If there are questions on the data you have provided, we may contact you for clarification before adding you to the listings. Be sure the certifications you list include the correct certification number and expiration date, as we are checking with the approval agencies for verification of the information you have submitted.

We will only post the Tester name, Company, Company phone number, certification type & expiration date and County on the web site. Make sure the phone number you want listed is in the Company Phone" box. The other information is for our records only and not exposed to the public.

                                                   Personal information
Todays Date * First Name: * Middle: Last Name: *
Home Street: *   City: * State: * Zip Code: *
County *

ABPA:     ABPA: CERTIFICATION #:     ABPA EXPIRE
ASSE:     ASSE CERTIFICATION #:      ASSE EXPIRE:

                                                 company information
Company Name: Street: City: State:    Zip code:

                                                    CONTACT INFORMATION
Home Phone: Company Phone: * Cell Phone: Email: *

Adams    Alamosa     Arapahoe     Archuleta     Baca     Bent     Boulder    BroomfieldChaffee     Cheyenne    Clear Creek     Conejos     Costilla     Crowley     Custer    Delta     Denver     Dolores     Douglas     Eagle       El Paso     Elbert     Fremont     Garfield     Gilpin     Grand     Gunnison     Hinsdale     Huerfano    Jackson  Jefferson     Kiowa
Kit Carson     Lake     La Plata     Larimer     Las Animas     Lincoln     Logan     Mesa     Mineral     Moffat     Montezuma     Montrose     Morgan     Otero     Ouray     Park     Phillips     Pitkin     Prowers     Pueblo     Rio Blanco     Rio Grande     Routt     Saguache     San Juan     San Migue     Sedgwick     Summit     Teller     Washington     Weld     Yuma





CHOOSE THE COUNTIES THAT YOU WILL TEST FOR
If you do not check at least one county, we wiii assume you only want to be on the mailing list and not the tester list

CONTACT us

BEST VIEWED IN WINDOWS EXPLORER 1024 X 768

Many of the files on this
Site require Adobe Reader. Please down
load and instal the free
lastest version

If you have comments or
suggestions. Let us know