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.

Pleasant RidgeE-FILE READY Plum Creek SubCONFIRM CHANNEL PlymouthE-FILE READY Plymouth TownshipE-FILE READY Point Nipigon ResortCONFIRM CHANNEL Pointe Aux Barques TownshipCONFIRM CHANNEL Polkton TownshipE-FILE READY Ponemah Lakeside Retreat, LLCCONFIRM CHANNEL PontiacCONFIRM CHANNEL Port Austin Area Sewer & WaterCONFIRM CHANNEL Port Hope-Gore-Rubicon U. A.CONFIRM CHANNEL Port Huron TownshipE-FILE READY Port Huron, City ofE-FILE READY Port of Call - WestE-FILE READY Port Sanilac, Village ofCONFIRM CHANNEL Port Sheldon TownshipE-FILE READY PortageE-FILE READY Portage Point InnE-FILE READY Portage TerraceCONFIRM CHANNEL Portage TownshipCONFIRM CHANNEL PortlandCONFIRM CHANNEL Portsmouth TownshipCONFIRM CHANNEL Posen, Village ofCONFIRM CHANNEL Potterville, City ofCONFIRM CHANNEL Powell TownshipCONFIRM CHANNEL Powers-Spalding Water AuthorityCONFIRM CHANNEL Prairie Village ApartmentsCONFIRM CHANNEL Prescott-Hidden Creek ManorE-FILE READY Presque Isle Harbor Water Co.E-FILE READY Prospect Manor MHCCONFIRM CHANNEL Quiet Cove Trailer ParkCONFIRM CHANNEL QuincyE-FILE READY QuinnesecCONFIRM CHANNEL Rabbit River EstatesE-FILE READY Rapid River Housing CommissionCONFIRM CHANNEL Rapid River MeadowsCONFIRM CHANNEL RavennaE-FILE READY ReadingE-FILE READY Redford TownshipE-FILE READY Reed City, City ofE-FILE READY Regency at Whitmore LakeE-FILE READY Remus Apartment CompanyE-FILE READY Republic TownshipE-FILE READY Richlyn ManorCONFIRM CHANNEL Richmond TownshipCONFIRM CHANNEL Richmond, City ofE-FILE READY Ridge Valley of MilfordCONFIRM CHANNEL RidgewayE-FILE READY Ridgewood Mobile Home Park INCE-FILE READY Riga TownshipCONFIRM CHANNEL River Ridge - SalineCONFIRM CHANNEL River RougeE-FILE READY Riverbrooke Homeowners AssociationCONFIRM CHANNEL Riverfront Condos of NilesCONFIRM CHANNEL Riversbend Mobile Home ParkE-FILE READY Riverside EstatesCONFIRM CHANNEL RiverviewE-FILE READY Riverview EstatesCONFIRM CHANNEL Riverview Mobile VillageE-FILE READY Riverwalk DevelopmentE-FILE READY RochesterE-FILE READY Rochester EastE-FILE READY Rochester HillsE-FILE READY RockfordE-FILE READY Rockland TownshipE-FILE READY RockwoodE-FILE READY Rogers City, City ofE-FILE READY Rolling Meadows Water Assn.CONFIRM CHANNEL Romeo, Village ofE-FILE READY RomulusE-FILE READY Roosevelt ParkE-FILE READY Roscommon, Village ofE-FILE READY Rose City, City ofCONFIRM CHANNEL Rose Hill CenterE-FILE READY Rosebush Estates ApartmentsE-FILE READY Rosebush ManorE-FILE READY Roseville ApartmentsE-FILE READY Roseville, City ofE-FILE READY Round Lake EstatesCONFIRM CHANNEL Royal EstatesE-FILE READY Royal Oak TownshipCONFIRM CHANNEL Royal Oak, City ofE-FILE READY Royal View Retirement VillageCONFIRM CHANNEL Rudyard TownshipE-FILE READY Rumbaugh Estates LLCE-FILE READY Rush Lake Mhp/campgroundCONFIRM CHANNEL Rustic Acres ParkE-FILE READY Saddle Ridge Condo Assoc.CONFIRM CHANNEL Saginaw Charter TownshipE-FILE READY Saginaw-Midland Water SupplyE-FILE READY Saginaw, City ofE-FILE READY SalineE-FILE READY Saline Valley FarmsE-FILE READY Sand Beach TownshipCONFIRM CHANNEL Sand LakeE-FILE READY Sandhill EstatesCONFIRM CHANNEL Sandhill ManorE-FILE READY Sandpiper EstatesCONFIRM CHANNEL Sandusky, City ofE-FILE READY Sandy PinesCONFIRM CHANNEL Sanilac TownshipE-FILE READY Sapphire Estates Mobile Home ParkE-FILE READY SaranacCONFIRM CHANNEL Sashabaw Meadows MHPCONFIRM CHANNEL Sault Ste MarieE-FILE READY SchoolcraftE-FILE READY Scio TownshipE-FILE READY Scottville, City ofCONFIRM CHANNEL Sebewaing Light & WaterE-FILE READY Secord Lake MHPCONFIRM CHANNEL Selkirk Lake Mobile Home ParkE-FILE READY Seney TownshipE-FILE READY Shady Acres Community, LLCCONFIRM CHANNEL Shady Brook Mobile Home ParkCONFIRM CHANNEL Shangrai-La VillageE-FILE READY Shanty Creek - Watars AssociationE-FILE READY ShelbyCONFIRM CHANNEL Shelby TownshipE-FILE READY Sheldon DunesE-FILE READY Shepherd, Village ofE-FILE READY SheridanCONFIRM CHANNEL Sheridan EstatesCONFIRM CHANNEL Sherman OaksCONFIRM CHANNEL Sherman TownshipCONFIRM CHANNEL Sherwood Shores CondominiumsCONFIRM CHANNEL Shorewood Hills SubdivisionE-FILE READY Silver Creek Estates Mobile Home CourtE-FILE READY Silver Lake Mobile Home ParkCONFIRM CHANNEL Silver Lake View Mobile Home ParkCONFIRM CHANNEL Silver Lake Water Authority, INC.E-FILE READY Silver Shores Mobile Home ParkE-FILE READY Sims-Whitney Utilities Auth.CONFIRM CHANNEL Sisters of Mary, Mother of EucharistE-FILE READY Skandia-West Branch Water DeptCONFIRM CHANNEL Sodus TownshipE-FILE READY Somerset Centre EstatesCONFIRM CHANNEL Somerset Mobile Home ParkE-FILE READY Sommerset Water Works, INC.E-FILE READY South Haven Area Water & Sewer AuthorityE-FILE READY South Lyon, City ofE-FILE READY South Pointe I ApartmentsCONFIRM CHANNEL South Pointe II ApartmentsCONFIRM CHANNEL South Pointe III ApartmentsCONFIRM CHANNEL South RangeE-FILE READY South RockwoodE-FILE READY South Shore Water SystemE-FILE READY Southeast Oakland TownshipCONFIRM CHANNEL Southeastern Oakland Co W AuthE-FILE READY SouthfieldE-FILE READY SouthgateE-FILE READY Southtown MHPCONFIRM CHANNEL Southwest Michigan Regional Sanitary SewE-FILE READY Southwest Oakland TownshipCONFIRM CHANNEL SpartaE-FILE READY Spaulding TownshipE-FILE READY Spring LakeE-FILE READY Spring Lake Club CondominiumsCONFIRM CHANNEL Spring Lake TownshipE-FILE READY Spring Valley EstatesE-FILE READY Springbrook Estates MHCCONFIRM CHANNEL SpringfieldE-FILE READY SpringportE-FILE READY Springrove MHCE-FILE READY Springs/portsmouth ApartmentsE-FILE READY SpsmE-FILE READY ST JosephE-FILE READY ST. Charles, Village ofE-FILE READY ST. Clair Shores, City ofE-FILE READY ST. Clair TownshipE-FILE READY ST. Clair Water and Sewer AuthorityE-FILE READY ST. Clair, City ofE-FILE READY ST. IgnaceCONFIRM CHANNEL ST. Johns, City ofE-FILE READY ST. Louis CenterE-FILE READY ST. Louis, City ofE-FILE READY Stambaugh Township-Indian LakeCONFIRM CHANNEL Stambaugh Township-West BruleCONFIRM CHANNEL Stambaugh Twp - Hagerman LakeCONFIRM CHANNEL Standish, City ofE-FILE READY StantonE-FILE READY Starlight Mobile Home ParkE-FILE READY State Road Country Living MHCCONFIRM CHANNEL StephensonCONFIRM CHANNEL Sterling Heights, City ofE-FILE READY Stockbridge, Village ofCONFIRM CHANNEL Stoddard Mobile Home CourtE-FILE READY Stone RidgeE-FILE READY Stonegate Mobile Home CommunityE-FILE READY Stonehedge Club Owners Association, INC.CONFIRM CHANNEL Streams of Light InternationalE-FILE READY SturgisE-FILE READY Suburban Estates MHPE-FILE READY Sugar Loaf TownhousesE-FILE READY Sugarloaf Mobile Home ParkCONFIRM CHANNEL Sugartree ApartmentsE-FILE READY Summer Wood EstatesCONFIRM CHANNEL Summerset MeadowsCONFIRM CHANNEL Summit TownshipE-FILE READY Sumpter TownshipE-FILE READY Sun Meadows ApartmentsCONFIRM CHANNEL Sunfield, Village ofCONFIRM CHANNEL Sunnydale Gardens Water AssociationCONFIRM CHANNEL Sunrise MHPCONFIRM CHANNEL Sunset Beach AssociationE-FILE READY Sunset Estates GaylordE-FILE READY Sunset MHPE-FILE READY Sunset Mobile Home ParkCONFIRM CHANNEL Sunset Ridge MHCCONFIRM CHANNEL Sunset ShoresE-FILE READY Sunset Torch AssociationCONFIRM CHANNEL Superior TownshipE-FILE READY Suttons Bay, Village ofCONFIRM CHANNEL Swan Creek TownshipE-FILE READY Swan Lake Mobile EstatesE-FILE READY Swartz Creek MeadowsCONFIRM CHANNEL Swartz Creek, City ofE-FILE READY Sweet Lake Mobile Home ParkE-FILE READY Swift Lake FarmsCONFIRM CHANNEL Sylvan Glen EstatesE-FILE READY Sylvan LakeCONFIRM CHANNEL Sylvan TownshipE-FILE READY T.j. White Pine Manor ApartmentsE-FILE READY Tall Oaks CondominumsCONFIRM CHANNEL Tallmadge MeadowsE-FILE READY Tamarac VillageCONFIRM CHANNEL Tannery Creek Condominum AssociationCONFIRM CHANNEL Tawas City, City ofE-FILE READY TaylorE-FILE READY Taymouth TownshipCONFIRM CHANNEL TecumsehE-FILE READY TekonshaCONFIRM CHANNEL The Bluffs at Gull LakeE-FILE READY The Laurels of FultonE-FILE READY The Leelanau SchoolE-FILE READY The Lighthouse-Traverse City LLCE-FILE READY The Peninsula Development LLCE-FILE READY The PinesCONFIRM CHANNEL The Pines of GoodrichE-FILE READY The PorchesE-FILE READY The Shores on Crooked LakeE-FILE READY The Villa at Rose CityE-FILE READY Thomas TownshipE-FILE READY Thompsonville, Village ofCONFIRM CHANNEL Thorn Creek CondominiumsE-FILE READY Thornapple Lake EstatesE-FILE READY Thornapple ManorE-FILE READY Thornton FarmsE-FILE READY Three Mile Lake Trailer ParkCONFIRM CHANNEL Three OaksCONFIRM CHANNEL Three RiversE-FILE READY Tilden TownshipE-FILE READY Tillicum FarmsE-FILE READY Timber Country Mobile Home ParkCONFIRM CHANNEL Timberline EstatesCONFIRM CHANNEL Tittabawassee TownshipE-FILE READY Topaz Mobile Home ParkE-FILE READY Torch Lake TownshipCONFIRM CHANNEL Town and Country MHPCONFIRM CHANNEL Tradewinds Mobile Home ParkCONFIRM CHANNEL Traverse CityE-FILE READY Treetops Resort (treetops North)E-FILE READY TrentonE-FILE READY Trout Creek CondominiumsE-FILE READY TroyE-FILE READY Tullymore Clubhouse and Camelot VillageE-FILE READY Twin Lakes SubdivisionCONFIRM CHANNEL Twin Pines Mobile Home ParkE-FILE READY Tyrone WoodsE-FILE READY Ubly, Village ofCONFIRM CHANNEL Union CityE-FILE READY Union TownshipE-FILE READY Unionville, Village ofE-FILE READY University Mobile Estates #2E-FILE READY Upper Michigan Water CompanyCONFIRM CHANNEL Utica, City ofCONFIRM CHANNEL V F W National HomeE-FILE READY Valley Side ApartmentsCONFIRM CHANNEL Valleywood Cove Condominium AssociationE-FILE READY Van Buren TownshipE-FILE READY Vassar, City ofE-FILE READY Vermontville, Village ofE-FILE READY Vicinia GardensE-FILE READY VicksburgE-FILE READY Viking River Mobile Home ParkCONFIRM CHANNEL Villa at Green Lake EstatesE-FILE READY Villa Nouva AssociationCONFIRM CHANNEL Village at Eagle GardensE-FILE READY Village East EstatesCONFIRM CHANNEL WakefieldCONFIRM CHANNEL WaldronCONFIRM CHANNEL Walled Lake, City ofCONFIRM CHANNEL Walloon Lake Water SystemCONFIRM CHANNEL Walnut Lane ApartmentsE-FILE READY Warren, City ofE-FILE READY Washburn Lake Village MHPE-FILE READY Washington MHPCONFIRM CHANNEL Washington TownshipE-FILE READY Waterford TownshipE-FILE READY Waters Edge Mh CommunityCONFIRM CHANNEL Watersmeet TownshipCONFIRM CHANNEL WatervlietE-FILE READY WaylandE-FILE READY WayneE-FILE READY Webberville, Village ofE-FILE READY Wedgewood Golfside Condo AssocCONFIRM CHANNEL Wellers Trailer ParkCONFIRM CHANNEL West Bloomfield TownshipE-FILE READY West Branch TownshipCONFIRM CHANNEL West Branch, City ofCONFIRM CHANNEL West Hickory HavenE-FILE READY West Olive EstatesCONFIRM CHANNEL West Park ApartmentsE-FILE READY West Pine IslandCONFIRM CHANNEL West Traverse TownshipE-FILE READY Westbrook ApartmentsE-FILE READY Westhaven Mobile Home Park, LLCE-FILE READY WestlandE-FILE READY Westphalia, Village ofE-FILE READY Whispering Oaks MHPCONFIRM CHANNEL Whispering PinesE-FILE READY Whispering Pines EstatesE-FILE READY Whispering Pines Senior LivingCONFIRM CHANNEL White Birch Mobile Home VillageE-FILE READY White CloudCONFIRM CHANNEL White Creek Country EstatesCONFIRM CHANNEL White Deer VillageCONFIRM CHANNEL White Eagle SubdivisionCONFIRM CHANNEL White Lake Assisted Living CenterE-FILE READY White Lake TownshipE-FILE READY White Oaks CondominiumsCONFIRM CHANNEL White PigeonE-FILE READY White Pines Mobile Home ParkCONFIRM CHANNEL Whiteford TownshipE-FILE READY WhitehallE-FILE READY Whitmore Lake ApartmentsCONFIRM CHANNEL Whittemore Square ApartmentsE-FILE READY Wildwood on Walloon AssociationCONFIRM CHANNEL Williams TownshipCONFIRM CHANNEL Williamston, City ofCONFIRM CHANNEL Willow VillageCONFIRM CHANNEL Willows on Twin PondsCONFIRM CHANNEL Windjammer Cove Community System BoardE-FILE READY Windmill ParkCONFIRM CHANNEL Windsor EstatesCONFIRM CHANNEL Windward Owners AssociationE-FILE READY Wisner Area Water SystemCONFIRM CHANNEL Wixom, City ofE-FILE READY Wolf Lake EstatesCONFIRM CHANNEL Wood ValleyCONFIRM CHANNEL Woodbine SubdivisionCONFIRM CHANNEL WoodhavenE-FILE READY Woodland Center Correctional FacilityE-FILE READY Woodland Park and SalesCONFIRM CHANNEL Woodland Park ApartmentsCONFIRM CHANNEL Woodland RidgeCONFIRM CHANNEL Woodlands MHCCONFIRM CHANNEL Woodruff Lake CooperativeE-FILE READY Woods and Fields Communities EastE-FILE READY Woods and Fields Communities WestE-FILE READY Woods of LochavenE-FILE READY Worth TownshipE-FILE READY WyandotteE-FILE READY Wynstone SubdivisionCONFIRM CHANNEL WyomingE-FILE READY Yale, City ofCONFIRM CHANNEL Yankee Springs MeadowsCONFIRM CHANNEL Yankee Springs TownshipE-FILE READY Yoder ApartmentsCONFIRM CHANNEL York CondominiumsE-FILE READY Ypsilanti Community Utility AuthorityE-FILE READY Zeeland Board of Public WorksE-FILE READY Zilwaukee, City ofE-FILE READY

TEST · REPORT · SUBMIT

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