All submitted Backflow Test Reports must be complete and legible and submitted to the Village by 11/1 of each year.
Forms are accepted by fax, but can be sent in by email, USPS, or dropped off in person.
Please mail to:
Village of Middlefield Water Department
14860 N State Avenue
Middlefield, Ohio 44062
You may also email reports to firstname.lastname@example.org
Backflow Test Form – Blank
Backflow Prevention Guide
Find a Certified Tester
To find a certified tester for a backflow prevention device, click HERE