1,372 WATER SYSTEMS · CODE MI

How to submit backflow test reports in Michigan

STATE FORM REQUIREMENTMI-EGLE

Michigan requires the Michigan EGLE Appendix D sample test form — BackflowGo fills the official PDF for you.

Michigan does not mandate a statewide official test form. This is the EGLE Cross Connection Rules Manual Appendix D sample record-keeping form — confirm the purveyor will accept it.

HancockCONFIRM CHANNEL Handy Township - Red Cedars CrossingE-FILE READY Harbor Beach, City ofCONFIRM CHANNEL Harbor Cove ApartmentsE-FILE READY Harbor Hills Subdivision AssociationCONFIRM CHANNEL Harbor Springs Area AuthorityCONFIRM CHANNEL Harbor Springs, City ofE-FILE READY Hardy ParkCONFIRM CHANNEL Haring Charter TownshipE-FILE READY Harper WoodsE-FILE READY Harrison TownshipE-FILE READY Harrison, City ofCONFIRM CHANNEL Harrisville, City ofE-FILE READY HartE-FILE READY HartfordCONFIRM CHANNEL Hartland Hills CondominiumsCONFIRM CHANNEL Hartland MeadowsE-FILE READY Hartland TownshipE-FILE READY Hartwick Pines EstatesCONFIRM CHANNEL Harvest Hills Subdivision AssoE-FILE READY HastingsE-FILE READY Haven View Mobile CourtCONFIRM CHANNEL Hazel ParkE-FILE READY Hearthside Grove Motor Coach ResortCONFIRM CHANNEL Hematite TownshipCONFIRM CHANNEL Hemingway Pointe Club Owners AssociationCONFIRM CHANNEL Hemlock/richland TownshipCONFIRM CHANNEL Heritage ApartmentsCONFIRM CHANNEL Heritage Drive ApartmentsE-FILE READY Heritage Hills Mobile Home VillageCONFIRM CHANNEL Hermansville Housing Comm.CONFIRM CHANNEL HesperiaE-FILE READY Hesperia MHP LLCE-FILE READY Hess Lake RV and Mobile Home ParkCONFIRM CHANNEL Hi-Way Mobile HavenCONFIRM CHANNEL Hickory HillsE-FILE READY Hickory Lane Mobile Home ParkCONFIRM CHANNEL Hidden Creek EstatesCONFIRM CHANNEL Hidden Glen ApartmentsE-FILE READY Hidden Hamlet AssociationE-FILE READY Hidden Lake EstatesE-FILE READY Hidden Lakes of Green OaksE-FILE READY Hidden Shores WestCONFIRM CHANNEL Hidden ValleyCONFIRM CHANNEL Highfields Youth CampE-FILE READY Highland Greens EstatesE-FILE READY Highland Haven/woodside AptsE-FILE READY Highland Hills of Highland MHCCONFIRM CHANNEL Highland Meadowview ApartmentsE-FILE READY Highland ParkE-FILE READY Highland TownshipCONFIRM CHANNEL Highlands at Harbor SpringsE-FILE READY Hillanlake VillageE-FILE READY Hillman, Village ofCONFIRM CHANNEL Hills Haven Mobile Home ParkCONFIRM CHANNEL Hills of Walloon AssociationE-FILE READY HillsdaleE-FILE READY Hillside AcresE-FILE READY Hillview Estates SubdivisionE-FILE READY Holiday TerraceCONFIRM CHANNEL Holiday Village Mobile Home ParkCONFIRM CHANNEL Holland Board of Public WorksE-FILE READY Holland Township ConsolidatedE-FILE READY Holly, Village ofE-FILE READY Holton CottagesCONFIRM CHANNEL Homecrest Villa Mobile Home ParkCONFIRM CHANNEL HomerE-FILE READY Homer TownshipE-FILE READY Homestead Pines Homeowners' AssociationCONFIRM CHANNEL Homestead/crystal River Water CoE-FILE READY Hope Network - West Lake- FacilityE-FILE READY Horsell ManorE-FILE READY Horton Bay ClubE-FILE READY HoughtonE-FILE READY Houghton Co Memorial AirportE-FILE READY Houghton Heights ManorE-FILE READY Houghton Lake Timber Apts.CONFIRM CHANNEL Houghton TownshipE-FILE READY Howard CityE-FILE READY Howell, City ofE-FILE READY HudsonE-FILE READY HudsonvilleE-FILE READY Hunters Creek EstatesCONFIRM CHANNEL Hunters GlenE-FILE READY Huntington WoodsE-FILE READY Huntmore EstatesE-FILE READY Huron Bay ResortCONFIRM CHANNEL Huron Dunes SubdivisionCONFIRM CHANNEL Huron Regional Water AuthorityCONFIRM CHANNEL Huron Shore Regional Utility AuthorityE-FILE READY Huron Township (huron County)CONFIRM CHANNEL Huron TwpE-FILE READY Hwy M553 Mobile EstatesE-FILE READY Hylander ValleyE-FILE READY Ideal Villa Manufactured Home CommunityCONFIRM CHANNEL Idlewild Garden HousingCONFIRM CHANNEL Imlay City, City ofCONFIRM CHANNEL Independence TownshipE-FILE READY Indian Acres Mobile Home ParkE-FILE READY Indian River MHPCONFIRM CHANNEL Indian VillageE-FILE READY InksterE-FILE READY Inland House Condominium AssociationCONFIRM CHANNEL Interior TownshipCONFIRM CHANNEL Interlochen Center for the ArtsE-FILE READY Intersect HealthcareE-FILE READY IoniaE-FILE READY Ira TownshipE-FILE READY Iron MountainCONFIRM CHANNEL Iron RiverCONFIRM CHANNEL Iron River Township-BeechwoodCONFIRM CHANNEL Iron River Township-NashCONFIRM CHANNEL Iron River Township-Ryden RoadCONFIRM CHANNEL IronwoodE-FILE READY Ironwood TownshipCONFIRM CHANNEL IshpemingCONFIRM CHANNEL Ishpeming Twp - EastCONFIRM CHANNEL Ishpeming Twp - WestCONFIRM CHANNEL Island Lake ApartmentsE-FILE READY Islandview Home Owners AssociationE-FILE READY Ithaca, City ofE-FILE READY JacksonE-FILE READY James TownshipE-FILE READY Jamestown TownshipE-FILE READY Jamieson Nursing HomeCONFIRM CHANNEL Johnsons Mobile VillageE-FILE READY JonesvilleCONFIRM CHANNEL Juniper Hills CondominiumsCONFIRM CHANNEL K I SawyerE-FILE READY KalamazooE-FILE READY Kalamazoo Lake Sewer & Water AuthorityE-FILE READY Kalchik EstatesE-FILE READY Kaleva, Village ofCONFIRM CHANNEL Kalkaska, Village ofE-FILE READY Kamp Villa RV ParkCONFIRM CHANNEL Karegnondi Water AuthorityE-FILE READY Kawkawlin Metro Dist Water SupE-FILE READY Kawkawlin TownshipCONFIRM CHANNEL Keego Harbor, City ofCONFIRM CHANNEL Kellogg Biological StationE-FILE READY Kent City Mobile Home ParkCONFIRM CHANNEL Kent Ridge ApartmentsCONFIRM CHANNEL KentwoodE-FILE READY Key Court Mobile Home ParkCONFIRM CHANNEL Key Heights Mobile VillageE-FILE READY Kimball TownshipE-FILE READY King Nursing & Rehabilitation CommunityCONFIRM CHANNEL Kings Court Mobile Home ParkE-FILE READY KingsfordE-FILE READY Kingsley, Village ofE-FILE READY Kingston ApartmentsE-FILE READY Kingston, Village ofE-FILE READY Kinross TownshipE-FILE READY Klines ResortCONFIRM CHANNEL Knorrwood Knolls SubdivisionCONFIRM CHANNEL Kochville TownshipE-FILE READY L'anseCONFIRM CHANNEL L'arbre Croche ClubE-FILE READY La-E-Ma Mobile Home ParkCONFIRM CHANNEL Laguna Vista SubdivisionE-FILE READY Lake Angela Condo Apts #3CONFIRM CHANNEL Lake Angela Condo Apts #4CONFIRM CHANNEL Lake Angela Condo Apts #5CONFIRM CHANNEL Lake Angela Condo Apts #6CONFIRM CHANNEL Lake Arrowhead EstatesE-FILE READY Lake Bella VistaCONFIRM CHANNEL Lake Charter TownshipE-FILE READY Lake Chemung Outdoor ResortCONFIRM CHANNEL Lake City, City ofE-FILE READY Lake DosterE-FILE READY Lake Fenton Mobile Home ParkCONFIRM CHANNEL Lake Forest ParkE-FILE READY Lake Isabella Water Dist. #1E-FILE READY Lake LindenE-FILE READY Lake Michigan Beach Resort PottawattamieCONFIRM CHANNEL Lake Michigan HeightsE-FILE READY Lake Mitchell Condominium AssociationCONFIRM CHANNEL Lake OdessaCONFIRM CHANNEL Lake Orion, Village ofE-FILE READY Lake Park Village CondominiumsCONFIRM CHANNEL Lake Pointe CondominiumsCONFIRM CHANNEL Lakecrest Mobile CourtE-FILE READY Lakeshore CondominiumsCONFIRM CHANNEL Lakeshore East CondominiumsCONFIRM CHANNEL Lakeshore Estates MHPCONFIRM CHANNEL Lakeshore Hilltop ApartmentsE-FILE READY Lakeshore VillageCONFIRM CHANNEL Lakeshore Village SubdivisionCONFIRM CHANNEL Lakeside ApartmentsCONFIRM CHANNEL Lakeside Club CondominiumsCONFIRM CHANNEL Lakeside DevelopmentE-FILE READY Lakeside Estates SubdivisionE-FILE READY Lakeside Mobile Home CommunityCONFIRM CHANNEL Laketown TownshipE-FILE READY LakeviewCONFIRM CHANNEL Lakeview ApartmentsE-FILE READY Lakeview Chalet CondominiumsCONFIRM CHANNEL Lakeview EstatesE-FILE READY Lakeview Trailer ParkE-FILE READY Lakewood Beach Community Services Co.CONFIRM CHANNEL Lakewood Terrace AssociationCONFIRM CHANNEL Landings at Cranes CoveCONFIRM CHANNEL Lansing Board of Water & LightE-FILE READY Lansing TownshipE-FILE READY Lantern Bay Treatment CenterE-FILE READY Lapeer, City ofE-FILE READY Larkin TownshipE-FILE READY Lathrup VillageE-FILE READY LauriumCONFIRM CHANNEL LawrenceCONFIRM CHANNEL LawtonE-FILE READY Lee TownshipE-FILE READY Lee Villa Mobile Home ParkCONFIRM CHANNEL Leelanau Co Law Enforcement CenterE-FILE READY Leffingwell EstatesCONFIRM CHANNEL Leisure VillageE-FILE READY Lenox TownshipE-FILE READY Leoni TownshipE-FILE READY Leslie, City ofE-FILE READY Lexington, Village ofE-FILE READY Lilly Bank LaneCONFIRM CHANNEL Lincoln EstatesE-FILE READY Lincoln Haven Nursing & RehabilitationCONFIRM CHANNEL Lincoln ManorCONFIRM CHANNEL Lincoln ParkE-FILE READY Lincoln PinesCONFIRM CHANNEL Linden Mobile Home ParkCONFIRM CHANNEL Linden Place Mobile Home ParkE-FILE READY Linden, City ofE-FILE READY Linwood Metropolitan DistrictCONFIRM CHANNEL LitchfieldCONFIRM CHANNEL Little Traverse TownshipE-FILE READY Livingston Community Water AuthorityE-FILE READY LivoniaE-FILE READY Loch Alpine Sanitary AuthorityCONFIRM CHANNEL LochenheathCONFIRM CHANNEL Lockport TownshipCONFIRM CHANNEL Long Lake Mobile Home EstatesCONFIRM CHANNEL Long Lake Village SubdivisionE-FILE READY Looking Glass Terraces Apts.E-FILE READY Loon Lake Mobile Home ParkCONFIRM CHANNEL LowellE-FILE READY Lowell TownshipE-FILE READY LudingtonE-FILE READY Lynx Golf ViewE-FILE READY Lyon TownshipE-FILE READY LyonsCONFIRM CHANNEL Mack. Co. Housing-CurtisCONFIRM CHANNEL Mack. Co. Housing-EngadineCONFIRM CHANNEL Mackinac IslandE-FILE READY Mackinaw City, Village ofE-FILE READY Macomb TownshipE-FILE READY Madison HeightsE-FILE READY Madison TownshipE-FILE READY Main Street ApartmentsCONFIRM CHANNEL Majestic Care of FlushingE-FILE READY Man Nor Farms SubdivisionCONFIRM CHANNEL Mancelona Area Water and Sewer AuthorityCONFIRM CHANNEL Mancelona Area Wsa - the ChiefCONFIRM CHANNEL ManchesterE-FILE READY Manistee Forest Pines EstatesE-FILE READY Manistee, City ofE-FILE READY ManistiqueCONFIRM CHANNEL Manitou Lake ApartmentsE-FILE READY Manton, City ofCONFIRM CHANNEL Maple Grove ApartmentsE-FILE READY Maple Grove EstatesCONFIRM CHANNEL Maple Island EstatesCONFIRM CHANNEL Maple KnollCONFIRM CHANNEL Maple Leaf VillageCONFIRM CHANNEL Maple Rapids, Village ofE-FILE READY Maple Ridge TownshipCONFIRM CHANNEL Maple Valley Nursing HomeE-FILE READY Mapleview EstatesCONFIRM CHANNEL Mapleview Estates EastCONFIRM CHANNEL Mapleview Nursing HomeCONFIRM CHANNEL Maplewood and Stone ManorsE-FILE READY Maplewood Ridge CondominiumsCONFIRM CHANNEL Marble Lake Resort & MarinaCONFIRM CHANNEL MarcellusCONFIRM CHANNEL Marenisco TownshipCONFIRM CHANNEL Marine CityE-FILE READY Marion, Village ofCONFIRM CHANNEL Marlette, City ofCONFIRM CHANNEL Marlin Village Mobile Home ParkCONFIRM CHANNEL MarquetteCONFIRM CHANNEL Marquette TownshipE-FILE READY MarshallE-FILE READY MartinCONFIRM CHANNEL Marysville, City ofE-FILE READY Mason ManorCONFIRM CHANNEL Mason Mobile, LLCE-FILE READY Mason, City ofE-FILE READY Mathias TownshipE-FILE READY MattawanE-FILE READY Mayville, Village ofE-FILE READY Mcbain, City ofCONFIRM CHANNEL Mcmillan TownshipE-FILE READY MctiE-FILE READY Meadow Lake Estates MHCCONFIRM CHANNEL Meadow Streams EstatesCONFIRM CHANNEL Meadow Woods N/r CenterE-FILE READY Meadowbrook Med Care FacilityE-FILE READY Meadowlane Mobile Home ParkE-FILE READY Medilodge of SterlingE-FILE READY Melrose-Chandler Water, LLCE-FILE READY MelvindaleE-FILE READY Memory Lane Mobile Home ParkCONFIRM CHANNEL Memphis, City ofCONFIRM CHANNEL MendonCONFIRM CHANNEL MenomineeE-FILE READY Meridian TownshipE-FILE READY Merrill, Village ofCONFIRM CHANNEL Merritt TownshipCONFIRM CHANNEL Mesick, Village ofE-FILE READY Metamora, Village ofCONFIRM CHANNEL Mhog Sewer & Water AuthorityE-FILE READY MichianaE-FILE READY Michiana Mobile Home ParkE-FILE READY Michigan Avenue EstatesE-FILE READY Michigan State UniversityE-FILE READY Michindoh Conference CenterE-FILE READY MiddlevilleE-FILE READY Midland Charter TownshipE-FILE READY Midland Co., Water Dist. No. 1 ofE-FILE READY Midland, City ofE-FILE READY Midtown Flats, LLCE-FILE READY MilanE-FILE READY Milford, Village ofE-FILE READY Mill Street 1 LdhaE-FILE READY Millersburg, Village ofCONFIRM CHANNEL Millington, Village ofE-FILE READY Millpointe of HartlandCONFIRM CHANNEL Mills TownshipE-FILE READY Minden City, Village ofCONFIRM CHANNEL Misty Cove Senior ApartmentsE-FILE READY Misty Meadows Mobile Home ParkCONFIRM CHANNEL Mitchell Brothers Mobile Home ParkCONFIRM CHANNEL Monitor TownshipCONFIRM CHANNEL MonroeE-FILE READY Monroe South CountyE-FILE READY MontagueCONFIRM CHANNEL Montrose Trailer ParkCONFIRM CHANNEL Montrose, City ofCONFIRM CHANNEL Moon Lake EstatesE-FILE READY MorenciE-FILE READY Morrice MeadowsE-FILE READY Morrow Crossing MHCCONFIRM CHANNEL Mount Clemens, City ofE-FILE READY Mount Morris, City ofCONFIRM CHANNEL Mount PleasantE-FILE READY MuirCONFIRM CHANNEL MunisingCONFIRM CHANNEL Munising Industrial ParkCONFIRM CHANNEL Musk Co Northside Water SystemE-FILE READY MuskegonE-FILE READY Muskegon Co Eastside Water SystemE-FILE READY Muskegon HeightsE-FILE READY My Place at Cattail EstatesCONFIRM CHANNEL My Place at Heritage EstatesCONFIRM CHANNEL My Place at Pleasant LakeCONFIRM CHANNEL My Place at Twin ValleyCONFIRM CHANNEL Mystic Ridge L.L.C.E-FILE READY Mystic View ApartmentsE-FILE READY Nahma TownshipCONFIRM CHANNEL Napoleon TownshipE-FILE READY NashvilleCONFIRM CHANNEL Nazarene CampE-FILE READY NegauneeCONFIRM CHANNEL Negaunee TownshipE-FILE READY Negaunee/ishpeming Water AuthorityCONFIRM CHANNEL Nesen's Countryside AcresCONFIRM CHANNEL New Baltimore, City ofE-FILE READY New BuffaloE-FILE READY New Buffalo TownshipE-FILE READY New Haven, Village ofE-FILE READY New Lothrop, Village ofCONFIRM CHANNEL NewaygoE-FILE READY Newberry Correctional FacilityE-FILE READY Newberry Water & LightE-FILE READY NilesE-FILE READY Niles TownshipE-FILE READY Nine Mile PointeCONFIRM CHANNEL North Bay Harbor ClubCONFIRM CHANNEL North Branch, Village ofCONFIRM CHANNEL North Dort Manor LTDCONFIRM CHANNEL North Morris EstatesCONFIRM CHANNEL North MuskegonE-FILE READY North Shore Trailer ParkCONFIRM CHANNEL North Woods Nursing CenterE-FILE READY Northern Country EstatesE-FILE READY Northern PinesCONFIRM CHANNEL Northfield EstatesE-FILE READY Northport Cottage OwnersE-FILE READY Northport, Village ofCONFIRM CHANNEL NorthvilleE-FILE READY Northville CrossingCONFIRM CHANNEL Northville TownshipE-FILE READY Northwest Ottawa Co Water SystE-FILE READY Northwoods CommunityE-FILE READY Norton ShoresE-FILE READY NorwayCONFIRM CHANNEL Nottingham Forest MHPCONFIRM CHANNEL Novi, City ofE-FILE READY Np Creek Valley NorthE-FILE READY Np Creek Valley SouthE-FILE READY Oak Hill Estates MHCE-FILE READY Oak Lane ApartmentsE-FILE READY Oak Leaf ManorE-FILE READY Oak ParkE-FILE READY Oak PointeE-FILE READY Oakfield Mobile Home ParkCONFIRM CHANNEL Oakland Hunt SubdivisionCONFIRM CHANNEL Oaks of RockfordCONFIRM CHANNEL Oakview Mobile EstatesE-FILE READY Ogemaw TownshipCONFIRM CHANNEL Old Farm Colony Water AssociationE-FILE READY Old Orchard EstatesCONFIRM CHANNEL Olive/blendon TwpsE-FILE READY Olivet, City ofCONFIRM CHANNEL Omer, City ofCONFIRM CHANNEL Onaway, City ofCONFIRM CHANNEL OnstedE-FILE READY Ontario PlaceE-FILE READY OntonagonE-FILE READY Orchard CoveE-FILE READY Orchard GroveE-FILE READY Orchard Lake VillageCONFIRM CHANNEL Orchard Place Manor ApartmentsE-FILE READY Orion Lake Estates MHCCONFIRM CHANNEL Orion TownshipE-FILE READY Oronoko TownshipE-FILE READY Osborn Lake EstatesCONFIRM CHANNEL Osceola TownshipCONFIRM CHANNEL Oscoda TownshipCONFIRM CHANNEL Otisville, Village ofE-FILE READY OtsegoE-FILE READY Otsego TownshipE-FILE READY Ovid, City ofCONFIRM CHANNEL Owendale, Village ofCONFIRM CHANNEL Owosso, City ofE-FILE READY Oxford TownshipCONFIRM CHANNEL Oxford Village CondominiumsE-FILE READY Oxford, Village ofCONFIRM CHANNEL Oyster Pointe CondominiumsCONFIRM CHANNEL Park View CourtCONFIRM CHANNEL Parks Place EstatesCONFIRM CHANNEL Parkway Efficiency ApartmentsCONFIRM CHANNEL ParkwoodE-FILE READY Parkwood GreenCONFIRM CHANNEL Parma Township-Amberton Vill.E-FILE READY Parma, Village ofE-FILE READY Paw PawE-FILE READY Paw Paw Apts - West Maple LakeCONFIRM CHANNEL Paw Paw Lake Mh ParkE-FILE READY Peck, Village ofCONFIRM CHANNEL Peninsula TownshipE-FILE READY Pennfield TownshipE-FILE READY Pennfield Twp-Convis/veronaE-FILE READY Penny Lake Estates SubdivisionE-FILE READY Pentland TownshipCONFIRM CHANNEL PentwaterE-FILE READY Pere Marquette Twp - CustomerE-FILE READY Pere Marquette Twp - WellsE-FILE READY Perrinton, Village ofCONFIRM CHANNEL Perry, City ofE-FILE READY PetersburgE-FILE READY Petoskey Park ApartmentsE-FILE READY Petoskey, City ofE-FILE READY PewamoCONFIRM CHANNEL Pheasant Run Manor ApartmentsE-FILE READY Phelps Mobile Home VillaCONFIRM CHANNEL Phoenix Mobile Home CourtCONFIRM CHANNEL Pigeon, Village ofCONFIRM CHANNEL Pinckney, Village ofE-FILE READY Pinconning TownshipCONFIRM CHANNEL Pinconning, City ofE-FILE READY Pine Acres Mobile Home ParkCONFIRM CHANNEL Pine Crest Mobile Home ParkCONFIRM CHANNEL Pine Haven Estates MHCE-FILE READY Pine Island Lake Rec ParkCONFIRM CHANNEL Pine Knoll Apartments, LLCCONFIRM CHANNEL Pine Lake ApartmentsE-FILE READY Pine Lakes Manufactured HomesE-FILE READY Pine Ridge Community, INC.CONFIRM CHANNEL Pine Ridge Mobile Home CommunityCONFIRM CHANNEL Pine River RidgeE-FILE READY Pine Terrace EstatesE-FILE READY Pine View Mobile Home ParkE-FILE READY Pinecrest ApartmentsCONFIRM CHANNEL Pinehurst ApartmentsE-FILE READY Pineview HomesE-FILE READY Pinewood on the Lake MHPCONFIRM CHANNEL Pirates Cove CondominiumsCONFIRM CHANNEL Pittsfield TownshipE-FILE READY Plainfield TownshipE-FILE READY PlainwellE-FILE READY Plainwell Pines H C FCONFIRM CHANNEL Pleasant Beach Mobile Home ResortCONFIRM CHANNEL Pleasant Lake Park LLCCONFIRM CHANNEL

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BackflowGo fills the correct official form for this state and tracks each purveyor's submission channel.