BackflowGo
2,235 WATER SYSTEMS · CODE NY

How to submit backflow test reports in New York

STATE FORM REQUIREMENTNY-DOH-1013

New York requires DOH-1013 — BackflowGo fills the official PDF for you.

New York requires DOH-1013 dual submission — to the water supplier AND the state/local health department. We email the water supplier; send the health-department copy yourself.
Jay WDCONFIRM CHANNELJefferson Water DistrictCONFIRM CHANNELJeffersonville VillageCONFIRM CHANNELJericho WDE-FILE READYJeslen Court MHPCONFIRM CHANNELJewell Trailer Park (dw)CONFIRM CHANNELJims MHPCONFIRM CHANNELJockeyville Estates IICONFIRM CHANNELJocks Mobile EstateCONFIRM CHANNELJohnell Trailer ParkCONFIRM CHANNELJohnson City Water WorksE-FILE READYJohnstown (c) Water WorksE-FILE READYJordan VillageCONFIRM CHANNELJuengstville Farm AssociationCONFIRM CHANNELJunius Water District #1E-FILE READYJunius Water District #3E-FILE READYJzm L.L.C.CONFIRM CHANNELKattelville PlaceCONFIRM CHANNELKayadeross AcresCONFIRM CHANNELKeeler FieldE-FILE READYKeene Valley WDCONFIRM CHANNELKeene WDCONFIRM CHANNELKendall W.D. #6CONFIRM CHANNELKenmore VillageE-FILE READYKensico Water DistrictCONFIRM CHANNELKensington Woods WDCONFIRM CHANNELKent ApartmentsCONFIRM CHANNELKent WD 1CONFIRM CHANNELKent WD 2CONFIRM CHANNELKerfien Mobile Home ParkE-FILE READYKerhonkson Water DistrictCONFIRM CHANNELKeuka Park WDCONFIRM CHANNELKhal Adas KashauCONFIRM CHANNELKiamesha Artesian Spring Water CompanyCONFIRM CHANNELKiamesha-Route 42 WDCONFIRM CHANNELKinderhook Lake Mobile Home ParkCONFIRM CHANNELKinderhook VillageCONFIRM CHANNELKing TractCONFIRM CHANNELKings EstatesCONFIRM CHANNELKings Highway Water DistrictCONFIRM CHANNELKingsbury Carriage CourtCONFIRM CHANNELKingsbury WD (queensbury)E-FILE READYKingston (city) Water DistrictCONFIRM CHANNELKingsvale Water CoE-FILE READYKinnebrook Estates MHPE-FILE READYKirkwood Consolidated WD #1E-FILE READYKiryas JoelCONFIRM CHANNELKiskatom Mobile Home ParkCONFIRM CHANNELKitchawan Water DistrictE-FILE READYKnolls Water Co., INC.E-FILE READYKnoxville ParkCONFIRM CHANNELKountry KnollsCONFIRM CHANNELL & D Mobile Home Park, LLCE-FILE READYL.b.s.h. HousingCONFIRM CHANNELLagoon Manor Homeowners AssociationCONFIRM CHANNELLagrange Town Center Water ImprovmentE-FILE READYLake Carmel Professional Bldg.CONFIRM CHANNELLake Erie EstatesE-FILE READYLake George VillageCONFIRM CHANNELLake Hill Farms Water DistrictCONFIRM CHANNELLake Katonah Club INCCONFIRM CHANNELLake Lodges ApartmentsCONFIRM CHANNELLake Lucille Prop Owners AssocCONFIRM CHANNELLake Luzerne Water DistrictCONFIRM CHANNELLake Mahopac CondoCONFIRM CHANNELLake Mohonk Mountain HouseCONFIRM CHANNELLake Placid VE-FILE READYLake PropertiesCONFIRM CHANNELLake Vue Park W.D.E-FILE READYLakeside ApartmentsE-FILE READYLakeside EstatesCONFIRM CHANNELLakeview Apts at Hunns LakeCONFIRM CHANNELLakeview Mobile ManorCONFIRM CHANNELLakeview Terrace Mobile Home ParkCONFIRM CHANNELLakewood EstatesCONFIRM CHANNELLamplight Court Mobile EstatesCONFIRM CHANNELLamplight VillageE-FILE READYLansing (t) Consolidated WDCONFIRM CHANNELLansing (v)CONFIRM CHANNELLarchmont VillageE-FILE READYLatham Water DistrictE-FILE READYLaurens VillageCONFIRM CHANNELLawtons Water CoCONFIRM CHANNELLazy Acres Mobile Home Park (gu)CONFIRM CHANNELLcwsa Consolidated Water DistrictCONFIRM CHANNELLeaning Evergreen MHPCONFIRM CHANNELLeatherstocking CommunityCONFIRM CHANNELLeavenworth Trailer ParkCONFIRM CHANNELLedgers Corners WDCONFIRM CHANNELLedgeview VillageCONFIRM CHANNELLee Water DistrictCONFIRM CHANNELLees Mobile Home ParkCONFIRM CHANNELLeewood Knolls Water CoCONFIRM CHANNELLehigh Crossing ApartmentsE-FILE READYLeicester Consolidated WDCONFIRM CHANNELLeicester VillageCONFIRM CHANNELLeisure Lake EstatesCONFIRM CHANNELLeisure VillageCONFIRM CHANNELLeray Town WD 1, 2, 4CONFIRM CHANNELLeray Town WD 3CONFIRM CHANNELLewis WDCONFIRM CHANNELLewisboro CommonsCONFIRM CHANNELLewiston VillageCONFIRM CHANNELLewiston Water ImprovementareaE-FILE READYLiberty Community, LLCCONFIRM CHANNELLiberty Utilities New York - LynbrookCONFIRM CHANNELLiberty Utilities New York - MerrickCONFIRM CHANNELLiberty Utilities New York - Mill NeckCONFIRM CHANNELLiberty Utilities New York - Sea CliffCONFIRM CHANNELLiberty VillageCONFIRM CHANNELLido-Point Lookout WDE-FILE READYLighthouse ApartmentsCONFIRM CHANNELLima Town Public Water SupplyCONFIRM CHANNELLima VillageCONFIRM CHANNELLimberlost Road Apartments (gu)CONFIRM CHANNELLime Ridge FarmCONFIRM CHANNELLincoln Hall SchoolE-FILE READYLisbon Water DistrictE-FILE READYLisle VillageCONFIRM CHANNELLittle Creek MHPE-FILE READYLittle Falls CityE-FILE READYLittle Johns Trailer ParkCONFIRM CHANNELLittle SwitzerlandCONFIRM CHANNELLittle Valley Town Water DistrictCONFIRM CHANNELLittle Valley VillageCONFIRM CHANNELLivingston Manor WDCONFIRM CHANNELLivingston Mobile Home ParkCONFIRM CHANNELLivingston Nursing HomeE-FILE READYLocke W DCONFIRM CHANNELLockport City WTPE-FILE READYLockport Town WdsE-FILE READYLocust Valley WDE-FILE READYLondon Bridge Water WorksCONFIRM CHANNELLong Acres Mobile Home ParkCONFIRM CHANNELLong Beach CityE-FILE READYLong Eddy WDCONFIRM CHANNELLong Lake AssociationCONFIRM CHANNELLong Lake WDCONFIRM CHANNELLorden HeightsCONFIRM CHANNELLords Hill ApartmentsE-FILE READYLorelei Water SupplyE-FILE READYLoughberry Mobile Home ParkCONFIRM CHANNELLowville (t) WD #1E-FILE READYLowville VillageE-FILE READYLucas Estates Water CompanyCONFIRM CHANNELLucky Lake WDCONFIRM CHANNELLudingtonville AptsCONFIRM CHANNELLyme Town WD 1 & 4CONFIRM CHANNELLyme Town WD 2CONFIRM CHANNELLyndonville VillageCONFIRM CHANNELLyon Mountain Water DistCONFIRM CHANNELLyons Falls VillageCONFIRM CHANNELMaccormick Secure CenterE-FILE READYMacey Lane Water DistrictE-FILE READYMachias Town Water DistrictE-FILE READYMadison VillageE-FILE READYMadrid Water DistrictE-FILE READYMagic Pines MHPCONFIRM CHANNELMahopac Hills Senior HousingCONFIRM CHANNELMahopac Water CoCONFIRM CHANNELMaidstone Park CottagesCONFIRM CHANNELMalden Water DistrictCONFIRM CHANNELMalone VE-FILE READYMalta Gardens Apts & MHPCONFIRM CHANNELMalta Water District #1E-FILE READYMaltaville Water DistrictE-FILE READYManchester Central WDCONFIRM CHANNELManchester VillageCONFIRM CHANNELManchester Water DistrictE-FILE READYManhasset Lakeville WDE-FILE READYManion Heights W.D.CONFIRM CHANNELManns Mobile CommunityE-FILE READYMannsville VillageCONFIRM CHANNELMansion Ridge Water CompanyE-FILE READYMaple Grove West & East MHPE-FILE READYMaple Hill Condominium W.s.E-FILE READYMaple Lane AssociatesCONFIRM CHANNELMaple Lane Trailer CourtCONFIRM CHANNELMaple Ridge CommunityE-FILE READYMaple Shade Trailer Park #1CONFIRM CHANNELMaple Tree Mobile HomesE-FILE READYMaplebrook SchoolE-FILE READYMaplehurst ParkE-FILE READYMapletree AptsCONFIRM CHANNELMarathon VillageE-FILE READYMargaretville VillageE-FILE READYMarion Terrace ApartmentsCONFIRM CHANNELMarion-Arcadia-Sodus CsaE-FILE READYMarlborough Water DistrictCONFIRM CHANNELMartinsburg Water DistrictCONFIRM CHANNELMarybell HomesE-FILE READYMaryland Water DistrictCONFIRM CHANNELMassapequa WDE-FILE READYMassena CampusCONFIRM CHANNELMassena VillageE-FILE READYMaverick Knolls HaCONFIRM CHANNELMay Lane Mobile ParkCONFIRM CHANNELMaybrook VillageCONFIRM CHANNELMayer Mobile Manor MHPCONFIRM CHANNELMayfield (v) Water WorksCONFIRM CHANNELMayville VillageCONFIRM CHANNELMazza-Leone Mobile Home CourtCONFIRM CHANNELMcbride Mobile CourtCONFIRM CHANNELMcgraw VillageCONFIRM CHANNELMcwaE-FILE READYMcwa - GenevaE-FILE READYMcwa GeneseeE-FILE READYMcwa Kendall Water DistrictE-FILE READYMeadow Crest Mobile Home ParkCONFIRM CHANNELMeadow Lake ApartmentsCONFIRM CHANNELMeadow Valley Mobile Home ParkCONFIRM CHANNELMeadowbrook ApartmentsCONFIRM CHANNELMeadowbrook FarmCONFIRM CHANNELMeadowbrook MHPCONFIRM CHANNELMeadowbrook Water DistrictCONFIRM CHANNELMeadowood MHPCONFIRM CHANNELMeadows at Cross RiverE-FILE READYMeadows Park (the)CONFIRM CHANNELMeads Pond Mobile Home ParkCONFIRM CHANNELMechanicville CityE-FILE READYMedina VillageE-FILE READYMelody Lake WDCONFIRM CHANNELMenands VillageE-FILE READYMentz (t)E-FILE READYMerritt Park WD, Fishkill TownCONFIRM CHANNELMexico Town WD #1E-FILE READYMexico VillageCONFIRM CHANNELMichelle EstatesE-FILE READYMid Hudson Psychiatric CenterE-FILE READYMiddle Grove Mobile ParkCONFIRM CHANNELMiddlebranch AptsCONFIRM CHANNELMiddleburgh VillageCONFIRM CHANNELMiddleport VillageE-FILE READYMiddlesex WDCONFIRM CHANNELMiddletown CityCONFIRM CHANNELMiddleville (v) Water WorksCONFIRM CHANNELMilford VillageCONFIRM CHANNELMill Creek Estates MHPCONFIRM CHANNELMill River Water DistrictCONFIRM CHANNELMillbrook SchoolE-FILE READYMillbrook VillageCONFIRM CHANNELMiller Road LLCE-FILE READYMillers Grove Trailer ParkCONFIRM CHANNELMillers Trailer ParkE-FILE READYMillerton VillageE-FILE READYMillport Village Water SupplyCONFIRM CHANNELMilo Town CsaE-FILE READYMilton Knolls Mobile Home ParkCONFIRM CHANNELMilton West Mobile Home ParkE-FILE READYMineola (v)CONFIRM CHANNELMineral Springs Park MHPCONFIRM CHANNELMinerva WDCONFIRM CHANNELMirones ManorCONFIRM CHANNELMirror Lake Trailer ParkCONFIRM CHANNELMisty Hills Water SystemCONFIRM CHANNELMobile Manor Mobile Home ParkCONFIRM CHANNELModena Country ClubCONFIRM CHANNELMohawk (v) Water WorksCONFIRM CHANNELMohawk Correctional FacilityE-FILE READYMonroe VillageCONFIRM CHANNELMonroe WD #01 (high Ridge)CONFIRM CHANNELMonroe WD #02 (strl Mnr/hor Hts)CONFIRM CHANNELMonroe WD #07 (oreco Terrace)CONFIRM CHANNELMonroe WD #08 (skyview Hills)CONFIRM CHANNELMonroe WD #10 (pine Tree Rd)CONFIRM CHANNELMonroe WD #12 (monroe Hills Estates)CONFIRM CHANNELMonroe WD #14 (orchard Hill Est.)CONFIRM CHANNELMontclair CondominiumsE-FILE READYMontezuma W D #1CONFIRM CHANNELMontgomery Nursing HomeE-FILE READYMontgomery VillageCONFIRM CHANNELMontgomery W.D. #1E-FILE READYMonticello VillageCONFIRM CHANNELMontour Falls VillageCONFIRM CHANNELMontrose Improvement DistrictE-FILE READYMoore Haven Trailer ParkCONFIRM CHANNELMoorgate Mobile Home ParkCONFIRM CHANNELMoravia VillageCONFIRM CHANNELMoreau WD #2 (queensbury)E-FILE READYMoriah WDCONFIRM CHANNELMorleys Mobile ParkCONFIRM CHANNELMorning Star VillageCONFIRM CHANNELMorningside Heights WD / Erwin (t)CONFIRM CHANNELMorris VillageCONFIRM CHANNELMorrisonville Water DistrictCONFIRM CHANNELMorristown Water DistrictE-FILE READYMorrisville State CollegeE-FILE READYMorrisville VillageE-FILE READYMott Road ParkCONFIRM CHANNELMount CommunityCONFIRM CHANNELMount Ebo WsE-FILE READYMount FujiCONFIRM CHANNELMount Ida (greenport)E-FILE READYMount Kisco Water DepartmentE-FILE READYMount Morris Town PWSCONFIRM CHANNELMount Morris VillageE-FILE READYMount PleasantE-FILE READYMount Upton Water DistrictCONFIRM CHANNELMount Vernon Water DepartmentE-FILE READYMountain Brook HomesCONFIRM CHANNELMountain Lake AcademyCONFIRM CHANNELMountain Lodge Park DevelopmenCONFIRM CHANNELMountain View EstatesCONFIRM CHANNELMountain View ManorE-FILE READYMountain View Meadows MHPE-FILE READYMountain View Mobile EstatesCONFIRM CHANNELMountain View Mobile Estates - KingsburyCONFIRM CHANNELMountain View Mobile Home ParkCONFIRM CHANNELMountain View Mobile Home Park - FentonCONFIRM CHANNELMountaindale WDCONFIRM CHANNELMountainview AptsCONFIRM CHANNELMountainview MHPCONFIRM CHANNELMountainview Mobile Home ParkCONFIRM CHANNELMt. Ivy 2019 MHC, LLCE-FILE READYMt. Orange Trailer ParkCONFIRM CHANNELMurray Town North WdsCONFIRM CHANNELMurray Town South WdsCONFIRM CHANNELMurray W.D. #1CONFIRM CHANNELMvwa - Mohawk Valley Water AuthorityE-FILE READYN.y.u. HousingCONFIRM CHANNELNanticoke Creek (nanticoke)CONFIRM CHANNELNapanoch Water DistrictCONFIRM CHANNELNaples ConsolidatedE-FILE READYNarrowsburg WDE-FILE READYNassau (v) PWSCONFIRM CHANNELNelliston (v) Water WorksCONFIRM CHANNELNemarest ClubCONFIRM CHANNELNew Baltimore Water Dist #2E-FILE READYNew Beginnings MHPCONFIRM CHANNELNew Berlin VillageCONFIRM CHANNELNew Castle/stanwood W.D.E-FILE READYNew Hope ManorE-FILE READYNew Paltz (town) Water DistricCONFIRM CHANNELNew Paltz (village) Water DistCONFIRM CHANNELNew Paltz Center for Rehab and NursingCONFIRM CHANNELNew Russia WDCONFIRM CHANNELNew Salem WDCONFIRM CHANNELNew Twin Lakes VillageE-FILE READYNew Vernon EstatesCONFIRM CHANNELNew Windsor Consolidated WDCONFIRM CHANNELNew WoodstockCONFIRM CHANNELNew York City SystemE-FILE READYNew York State Veterans HomeE-FILE READYNewark Valley Park Sites, LLCCONFIRM CHANNELNewark VillageE-FILE READYNewburgh CityCONFIRM CHANNELNewburgh Consolidated WDE-FILE READYNewfane Town WdsE-FILE READYNewfield EstatesCONFIRM CHANNELNewfield WdsE-FILE READYNewport VillageCONFIRM CHANNELNewtown Creek Community INC.CONFIRM CHANNELNiagara County Water DistrictE-FILE READYNiagara Falls Water BoardE-FILE READYNiagara Water Improvement AreaE-FILE READYNichols TownCONFIRM CHANNELNikaj EstatesCONFIRM CHANNELNiskayuna Consolidated WD #11E-FILE READYNorfolk Water DistrictCONFIRM CHANNELNorma Gardens ApartmentsCONFIRM CHANNELNorth Castle Water District #1CONFIRM CHANNELNorth Castle Water District #2CONFIRM CHANNELNorth Castle Water District #4CONFIRM CHANNELNorth Castle Water District #5CONFIRM CHANNELNorth Chautauqua County Water DistrictCONFIRM CHANNELNorth Cohocton WDCONFIRM CHANNELNorth Collins VillageCONFIRM CHANNELNorth Country School INCCONFIRM CHANNELNorth Creek Mobile VillageCONFIRM CHANNELNorth Creek Water DistrictCONFIRM CHANNELNorth Granville WD #1E-FILE READYNorth Greenbush Consolidated DistrictCONFIRM CHANNELNorth Hornell VillageCONFIRM CHANNELNorth Java Water DistrictE-FILE READYNorth Point Creek Apartments LTD.CONFIRM CHANNELNorth Tonawanda CityE-FILE READYNorthampton (t) Water DistrictE-FILE READYNortheast W.D.CONFIRM CHANNELNorthern Dutchess Mobile Home ParkCONFIRM CHANNELNorthern Pines Mobile Home Pk.CONFIRM CHANNELNorthern Westchester Joint Water WorksE-FILE READYNorthland EstatesCONFIRM CHANNELNorthport Va HospitalE-FILE READYNorthville (v) Water Wks.CONFIRM CHANNELNorthway MHPCONFIRM CHANNELNorthway Mobile Home Park - PlattsburghCONFIRM CHANNELNorthwood Water CompanyCONFIRM CHANNELNorthwoods EstatesCONFIRM CHANNELNorwich CityE-FILE READYNorwich Town Water District #2CONFIRM CHANNELNorwich Town Water District #3CONFIRM CHANNELNorwoodCONFIRM CHANNELNowlan Ridge Mobile Home CourtE-FILE READYNunda VillageCONFIRM CHANNELNyack Village Water SupplyE-FILE READYNys Office of Children & Family ServicesCONFIRM CHANNELO.c. Correctional FacilityE-FILE READYOak Beach Public Water SupplyE-FILE READYOak River Mobile EstatesCONFIRM CHANNELOakfield TownCONFIRM CHANNELOakfield VillageCONFIRM CHANNELOakridge Water DistrictE-FILE READYOakwoods Mobile Home ParkCONFIRM CHANNELOccanum Falls CourtCONFIRM CHANNELOcean Beach Water DistrictCONFIRM CHANNELOcfs Industry Residential CenterE-FILE READYOcwaE-FILE READYOcwa Skyridge Community WDE-FILE READYOdessa VillageCONFIRM CHANNELOgdensburg CityE-FILE READYOld Farm Hill Water DistrictCONFIRM CHANNELOld Forge-Thendara Water DistrictE-FILE READYOld Post Road Water DistrictE-FILE READYOld Trail EstatesCONFIRM CHANNELOld Westbury (v)CONFIRM CHANNELOldfield CourtCONFIRM CHANNELOlean CityE-FILE READYOlean Town Water DistrictCONFIRM CHANNELOlivet AcademyCONFIRM CHANNELOlivet Management, LLCE-FILE READYOneida CityE-FILE READYOneonta CityE-FILE READYOnondaga Nation - Native AmericanCONFIRM CHANNELOntario Town Benefit Area #1E-FILE READYOrange County Estates, INCE-FILE READYOrange Lake Trailer ParkCONFIRM CHANNELOrchard ApartmentsCONFIRM CHANNELOrchard Park VillageE-FILE READYOriskany Falls VillageCONFIRM CHANNELOrleans Town WD 1 (lafargeville)E-FILE READYOrleans Town WD 2 (rt 12)E-FILE READYOrmsby Mobile Home ParkCONFIRM CHANNELOrwell WDCONFIRM CHANNELOssining Water DepartmentE-FILE READYOswego CityCONFIRM CHANNELOtego VillageCONFIRM CHANNELOtisville Correctional FacilityCONFIRM CHANNELOtisville VillageE-FILE READYOtto Town Water DistrictCONFIRM CHANNELOvid VillageE-FILE READYOwasco Water DistrictCONFIRM CHANNELOwego Heights Mobile Home ParkCONFIRM CHANNELOwego WD - Rt 38CONFIRM CHANNELOwego WD #1CONFIRM CHANNELOwego WD #2CONFIRM CHANNELOwego WD #3CONFIRM CHANNELOwego WD #4CONFIRM CHANNELOwego WD #5CONFIRM CHANNELOwera PointCONFIRM CHANNELOxford VillageCONFIRM CHANNELOyster Bay WDCONFIRM CHANNELPabst Water DistrictCONFIRM CHANNELPace UniversityE-FILE READYPainted Apron Water Co, T.o.E-FILE READYPainted Post VillageE-FILE READYPalatine Bridge (v) Water WorksCONFIRM CHANNELPalatine ManorCONFIRM CHANNELPalmer Center UgarcCONFIRM CHANNELPalmyra South SaCONFIRM CHANNELPalmyra VillageE-FILE READYPalmyra-Macedon-Walworth CsaCONFIRM CHANNELPamelia Town WD #2CONFIRM CHANNELPamelia Town WD 4 & 5CONFIRM CHANNELParadise Pines MHPCONFIRM CHANNELParishville Water District #1CONFIRM CHANNELPark at Saratoga NationalCONFIRM CHANNELPark Dantoine MHPCONFIRM CHANNELPark Estates MHPCONFIRM CHANNELPark Place MHPE-FILE READYParker Manor Trailer ParkE-FILE READYParkside EstatesCONFIRM CHANNELParkwood Village ApartmentsE-FILE READYPartridge AcresCONFIRM CHANNELPartridge Garden ApartmentsCONFIRM CHANNELPathfinder VillageCONFIRM CHANNELPatterson Village CondominiumsCONFIRM CHANNELPattersonville Mobile Home #1CONFIRM CHANNELPattersonville Mobile Home #2CONFIRM CHANNELPaul Smiths CollegeE-FILE READYPawling VillageE-FILE READYPawling WD #1E-FILE READYPawling WD #2E-FILE READYPeaceable Hill Water DistrictCONFIRM CHANNELPebble Hill Mobile Home ParkCONFIRM CHANNELPeconic River Mobile Home ParkE-FILE READYPeconic View Mobile Home ParkCONFIRM CHANNELPeek N Peak RecreationCONFIRM CHANNELPeekskill CityE-FILE READYPendleton Town WDE-FILE READYPenn Yan VillageCONFIRM CHANNELPerkins Mobile Home ParkCONFIRM CHANNELPerry Center Water DistrictE-FILE READYPerry VillageCONFIRM CHANNELPerrysburg Town Central Water DistrictCONFIRM CHANNELPeru WDCONFIRM CHANNELPetersburgh Water DistrictE-FILE READYPetoff Garden ApartmentsE-FILE READYPheasant HillCONFIRM CHANNELPhelps Route 14 WDCONFIRM CHANNELPhelps Town Consolidated WDE-FILE READY
TEST · REPORT · SUBMIT
BackflowGo fills the correct official form for this state and tracks each purveyor's submission channel.
START FREE →