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1,058 WATER SYSTEMS · CODE VA

How to submit backflow test reports in Virginia

STATE FORM REQUIREMENTVA-VDH

Virginia publishes the VDH CCCP Appendix A report template, which BackflowGo fills — individual purveyors may substitute their own form.

Virginia mandates no statewide form — this is VDH's CCCP Appendix A template, which individual waterworks adapt. Confirm the purveyor accepts it (several VA localities use their own forms or portals).
Lawrenceville, Town ofE-FILE READYLcpsa- KvsCONFIRM CHANNELLcpsa-Blue SpringsCONFIRM CHANNELLeatherwood EstatesE-FILE READYLebanon, Town ofE-FILE READYLee County Psa/ BlackwaterCONFIRM CHANNELLee County Psa/big HillCONFIRM CHANNELLee County Psa/eastern LeeCONFIRM CHANNELLee County Psa/fleenortownCONFIRM CHANNELLee County Psa/jasperCONFIRM CHANNELLee County Psa/keokeeCONFIRM CHANNELLee County Psa/miller ChapelCONFIRM CHANNELLee County Psa/st. CharlesCONFIRM CHANNELLee County Psa/stickleyvilleCONFIRM CHANNELLee Dale ShoresCONFIRM CHANNELLeesburg, Town ofE-FILE READYLeisure PointCONFIRM CHANNELLew Jones SubdivisionE-FILE READYLewisettaCONFIRM CHANNELLexington, City ofE-FILE READYLhoist North America of VirginiaE-FILE READYLightfoot SystemE-FILE READYLilly Subdivision Sanitary Dist. - RcpwCONFIRM CHANNELLinton Hall SchoolE-FILE READYLittle Creek Amphibious Base - U.S. NavyE-FILE READYLittle Keswick SchoolE-FILE READYLively, Community ofCONFIRM CHANNELLocksley Hall EstatesCONFIRM CHANNELLocust Gardens MHPE-FILE READYLong Acres Mobile Home ParkE-FILE READYLong Branch ShoresCONFIRM CHANNELLong HollowCONFIRM CHANNELLongdale FurnaceCONFIRM CHANNELLongview Trailer ParkCONFIRM CHANNELLottsburgCONFIRM CHANNELLoudoun Water - Central SystemE-FILE READYLouisa County Water AuthorityE-FILE READYLouisa County Zion CrossroadsE-FILE READYLouisa, Town ofE-FILE READYLovettsville, Town ofCONFIRM CHANNELLucys CoveCONFIRM CHANNELLuray HomesCONFIRM CHANNELLuray, Town ofE-FILE READYLurich RoadCONFIRM CHANNELLuttrellvilleCONFIRM CHANNELLynchburg, City ofE-FILE READYLynn Castle ParkCONFIRM CHANNELLynville on the LakeE-FILE READYMadison Run TerraceCONFIRM CHANNELMadison, Town ofCONFIRM CHANNELMallard Bay SubdivisionCONFIRM CHANNELManakin FarmsCONFIRM CHANNELManassas Park, City ofE-FILE READYManassas, City ofE-FILE READYMarion, Town ofE-FILE READYMarle Hill Section 3PORTALMarle Hill SubdivisionPORTALMarsh Run Mobile Home ParkE-FILE READYMarshall WaterworksCONFIRM CHANNELMartin CreekCONFIRM CHANNELMartinsville, City ofE-FILE READYMaryfield Sub.CONFIRM CHANNELMassanutten View SubdivisionCONFIRM CHANNELMassanutten VillageCONFIRM CHANNELMaury Service AuthorityE-FILE READYMayfield FarmsCONFIRM CHANNELMcdaniel Mobile Home ParkCONFIRM CHANNELMcdowellE-FILE READYMckenney, Town ofCONFIRM CHANNELMeadow Rue Mobile Home ParkE-FILE READYMeadows Mobile Home EstatesCONFIRM CHANNELMeadows, theCONFIRM CHANNELMerrimac SouthCONFIRM CHANNELMerrymount SubdivisionCONFIRM CHANNELMiddle Creek - TcpsaCONFIRM CHANNELMiddlebrook - AcsaCONFIRM CHANNELMiddleburg, Town ofCONFIRM CHANNELMiddlesex Water AuthorityE-FILE READYMiddletown, Town ofE-FILE READYMilburn SubdivisionCONFIRM CHANNELMilford Sanitary DistrictE-FILE READYMill Quarter PlantationCONFIRM CHANNELMillboro - BcsaCONFIRM CHANNELMiller SchoolE-FILE READYMillers SquareCONFIRM CHANNELMineral, Town ofCONFIRM CHANNELMinitree GlenCONFIRM CHANNELMobile EstatesCONFIRM CHANNELMoccasin Gap_scott Co PsaCONFIRM CHANNELMonroe Bay EstatesCONFIRM CHANNELMonroe Bay Trailer ParkCONFIRM CHANNELMonroe Hall NeighborhoodE-FILE READYMonterey, Town ofE-FILE READYMontross Mobile Home VillagePORTALMontross, Town ofE-FILE READYMontvale Water, INC.CONFIRM CHANNELMosquito PointE-FILE READYMount Crawford-RcpwCONFIRM CHANNELMount Cross RoadCONFIRM CHANNELMount HermonCONFIRM CHANNELMount Jackson, Town ofE-FILE READYMount Joy Mobile VillageCONFIRM CHANNELMountain CrestCONFIRM CHANNELMountain Lakes Water CompanyCONFIRM CHANNELMountain Rest EstatesCONFIRM CHANNELMountain RunCONFIRM CHANNELMountain ViewCONFIRM CHANNELMountain View Nursing HomeE-FILE READYMountain View ShoresCONFIRM CHANNELMountain View Trailer ParkCONFIRM CHANNELMountain Vista VillageCONFIRM CHANNELMt OlivetCONFIRM CHANNELMt Zion/rustic AreaE-FILE READYMt. Olive Church Comm. Well CoE-FILE READYMudpike Road WaterlineCONFIRM CHANNELN A S OceanaE-FILE READYN. Lexington-Fairfield-Raphine [rcpsa]CONFIRM CHANNELNarrows, Town ofE-FILE READYNasa Wallops Flight FacilityE-FILE READYNatural Bridge Station / Arnolds ValleyCONFIRM CHANNELNaval Station NorfolkE-FILE READYNaval Support Activity PortsmouthE-FILE READYNaval Support Activity-NwE-FILE READYNaval Support Facility, DahlgrenE-FILE READYNcsa - GladstoneCONFIRM CHANNELNcsa - LovingstonCONFIRM CHANNELNcsa - SchuylerCONFIRM CHANNELNcsa - WintergreenCONFIRM CHANNELNelson County - Piney RiverCONFIRM CHANNELNelson ParkCONFIRM CHANNELNew Baltimore RegionalCONFIRM CHANNELNew BridgeE-FILE READYNew Garden/finney - RcpsaCONFIRM CHANNELNew Kent CourthouseCONFIRM CHANNELNew Market, Town ofE-FILE READYNew River Regional Water AuthorityE-FILE READYNewbern HeightsE-FILE READYNewport News, City ofE-FILE READYNewsoms Town ofE-FILE READYNindes StoreCONFIRM CHANNELNininger WaterworksCONFIRM CHANNELNomini Bay FarmsCONFIRM CHANNELNorfolk, City ofE-FILE READYNorman Acres SubdivisionCONFIRM CHANNELNorth 340 CampgroundE-FILE READYNorth Rivanna WTPCONFIRM CHANNELNorth River ParkCONFIRM CHANNELNorth Spring Behavioral HealthcareE-FILE READYNorthampton County Government ComplexE-FILE READYNortheast Regional Water SystemsE-FILE READYNorthern Development Service Dist.CONFIRM CHANNELNorthtown VillageCONFIRM CHANNELNorthumberland PlantationCONFIRM CHANNELNorthumberland ShoresCONFIRM CHANNELNorton, City ofE-FILE READYNottoway Acres SubdivisionCONFIRM CHANNELNottoway GardensCONFIRM CHANNELNottoway ShoresCONFIRM CHANNELNrv Regional Water AuthorityE-FILE READYNsa Hampton Roads, Main BaseE-FILE READYNsa Hampton Roads, Portsmouth AnnexE-FILE READYOak Hill AcademyE-FILE READYOak Hill EstatesCONFIRM CHANNELOak Park SubdivisionCONFIRM CHANNELOak SpringsCONFIRM CHANNELOakland ParkCONFIRM CHANNELOaks Mobile EstatesCONFIRM CHANNELOakwood/parkviewCONFIRM CHANNELObservatory WTPCONFIRM CHANNELOld Farms SubdivisionCONFIRM CHANNELOld Prospect LandingPORTALOld Richmond RoadCONFIRM CHANNELOlde Mill Golf CourseE-FILE READYOldtown Water SystemE-FILE READYOnancock, Town ofE-FILE READYOne Stop Trailer ParkE-FILE READYOpal RegionalCONFIRM CHANNELOrange, Town ofCONFIRM CHANNELOrchard Hills EstatesE-FILE READYOsborne Mountain - BcpsaCONFIRM CHANNELOur Fathers HouseCONFIRM CHANNELOverlook Heights CombinedCONFIRM CHANNELOwens SubdivisionCONFIRM CHANNELPage - BcpsaCONFIRM CHANNELPage Valley EstatesCONFIRM CHANNELPagebrookCONFIRM CHANNELPalmyraCONFIRM CHANNELPamplin City, Town ofCONFIRM CHANNELParadise Point EstatesCONFIRM CHANNELParham LandingCONFIRM CHANNELParisCONFIRM CHANNELPark PlaceE-FILE READYParker Mobile Home EstatesCONFIRM CHANNELParksley, Town ofE-FILE READYPatrick County PsaE-FILE READYPeacock Hill SubdivisionCONFIRM CHANNELPearisburg, Town ofE-FILE READYPeete River FarmCONFIRM CHANNELPelham ManorCONFIRM CHANNELPembroke, Town ofE-FILE READYPennington Gap, Town ofE-FILE READYPetersburg, City ofE-FILE READYPhenix, Town ofE-FILE READYPine Grove Mobile Home ParkCONFIRM CHANNELPine HarborCONFIRM CHANNELPine HillCONFIRM CHANNELPine Tree Mobile EstatesE-FILE READYPinebrook SubdivisionCONFIRM CHANNELPineview MHP 1-3CONFIRM CHANNELPlacid Bay EstatesCONFIRM CHANNELPlains, theCONFIRM CHANNELPleasant Grove SubdivisionCONFIRM CHANNELPleasant View EstatesCONFIRM CHANNELPlum CreekCONFIRM CHANNELPooles Mobile Home ParkE-FILE READYPoor ValleyCONFIRM CHANNELPort Royal, Town ofCONFIRM CHANNELPorter Farm Subd Water AssocCONFIRM CHANNELPortsmouth, City ofE-FILE READYPotomac Bay EstatesCONFIRM CHANNELPotomac Westmoreland ShoresPORTALPounding MillCONFIRM CHANNELPowell MountainCONFIRM CHANNELPowhatan CourthouseCONFIRM CHANNELPresidential Lakes, Sect. 14CONFIRM CHANNELPrices Fork/merrimacCONFIRM CHANNELPrimland Community WaterworksE-FILE READYPrince George Woods EstatesE-FILE READYPrincess Anne 301CONFIRM CHANNELPuddledock RoadE-FILE READYPulaski County PsaCONFIRM CHANNELPulaski, Town ofE-FILE READYPurcellville, Town ofE-FILE READYPwcsa - Carters GroveE-FILE READYPwcsa - EastCONFIRM CHANNELPwcsa - Hoadly ManorCONFIRM CHANNELPwcsa - WestCONFIRM CHANNELQuantico Marine Base-MainsideE-FILE READYQuantico Mcb-Camp BarrettE-FILE READYQuantico, Town ofCONFIRM CHANNELQueens Lake SystemCONFIRM CHANNELQuinton Park SubdivisionCONFIRM CHANNELR.r. Donnelley- RcpwCONFIRM CHANNELR&l Trailer ParkCONFIRM CHANNELRacefield - JcsaE-FILE READYRadford Army Ammunition PlantE-FILE READYRadford, City ofE-FILE READYRainbow ForestCONFIRM CHANNELRainier EstatesCONFIRM CHANNELRam/wayside Community Water SystemCONFIRM CHANNELRamsey Mobile Home ParkCONFIRM CHANNELRandle RidgeE-FILE READYRappahannock Westminster CanterburyE-FILE READYReedville ManorE-FILE READYReedville, Town ofCONFIRM CHANNELRemington, Town ofE-FILE READYRescue WaterworksCONFIRM CHANNELReserve at Rokeby FarmCONFIRM CHANNELRetreatCONFIRM CHANNELRetreat (jcsa)E-FILE READYRich Creek, Town ofE-FILE READYRichlands, Town ofE-FILE READYRichmond, City ofE-FILE READYRidgecrest SubdivisionCONFIRM CHANNELRidgeview VillageCONFIRM CHANNELRidgeway Trailer ParkCONFIRM CHANNELRiner CommunityCONFIRM CHANNELRiner Mobile Home ParkCONFIRM CHANNELRinggold Industrial ParkCONFIRM CHANNELRippin Run SubdivisionCONFIRM CHANNELRiver OaksCONFIRM CHANNELRiver ParkE-FILE READYRiver RidgeCONFIRM CHANNELRiverbayE-FILE READYRiverbend EstatesCONFIRM CHANNELRiverbend SubdivisionCONFIRM CHANNELRiverdale SubdivisionPORTALRivermont HeightsCONFIRM CHANNELRivers Edge SubdivisionE-FILE READYRiverside Convalescent CenterE-FILE READYRiverview Mobile EstatesE-FILE READYRoanoke River Service AuthorityCONFIRM CHANNELRobin Court SubdivisionCONFIRM CHANNELRockahock Campgrounds, INCCONFIRM CHANNELRockhill SubdivisionE-FILE READYRockwood Mobile Home ParkCONFIRM CHANNELRocky Gap/bastian RegionalE-FILE READYRocky Mount, Town ofE-FILE READYRodes FarmE-FILE READYRolling AcresCONFIRM CHANNELRolling Acres SubdivisionCONFIRM CHANNELRolling Brook Mobile Home ParkCONFIRM CHANNELRosedale/callaghanCONFIRM CHANNELRound Hill, Town ofE-FILE READYRoute 100 AreaCONFIRM CHANNELRoute 250 West - AcsaCONFIRM CHANNELRoute 58 WestCONFIRM CHANNELRsa Route 15CONFIRM CHANNELRsa Route 20CONFIRM CHANNELRt 29 NorthCONFIRM CHANNELRural Point CentralCONFIRM CHANNELRural Retreat, Town ofE-FILE READYRushmere (burwell Bay)CONFIRM CHANNELRustburg Correctional Unit #9E-FILE READYRyan SubdivisionCONFIRM CHANNELRye Valley Water AuthorityCONFIRM CHANNELSaint Clairs CreekE-FILE READYSaint Thomas Aquinas SeminaryE-FILE READYSalem, City ofE-FILE READYSaltville, Town ofCONFIRM CHANNELSandy Point SubdivisionCONFIRM CHANNELSandy Ridge - DcpsaCONFIRM CHANNELSantillaneE-FILE READYSchoolhouse MeadowsCONFIRM CHANNELScots LandingCONFIRM CHANNELScottland Riverview Water SupplyCONFIRM CHANNELScottsburg , Town ofCONFIRM CHANNELScottsville WTPCONFIRM CHANNELScottswoodCONFIRM CHANNELScpsa - NickelsvilleCONFIRM CHANNELScpsa-Big MoccasinCONFIRM CHANNELScpsa-ManvilleCONFIRM CHANNELSedleyCONFIRM CHANNELSelma / Low Moor / Valley RidgeCONFIRM CHANNELSelma EstatesCONFIRM CHANNELSesmau Jerdone IslandE-FILE READYShady Rest Mobile Home ParkCONFIRM CHANNELShawnee LandCONFIRM CHANNELShenandoah AcresE-FILE READYShenandoah CrossingE-FILE READYShenandoah River EstatesCONFIRM CHANNELShenandoah Senior LivingE-FILE READYShenandoah Shores SubdivisionCONFIRM CHANNELShenandoah Utility ServicesCONFIRM CHANNELShenandoah, Town ofE-FILE READYSherwood EstatesCONFIRM CHANNELSherwood Forest ShoresPORTALShore Health and Rehabilitation CenterCONFIRM CHANNELShortt Gap - BcpsaCONFIRM CHANNELShute HollowCONFIRM CHANNELSign Post EstatesCONFIRM CHANNELSilverleaf CorpCONFIRM CHANNELSinclair ManorCONFIRM CHANNELSiouan ShoresCONFIRM CHANNELSix-0-Five MHCCONFIRM CHANNELSkyline Court ApartmentsCONFIRM CHANNELSloop PointeCONFIRM CHANNELSmith Mountain Lake WTPE-FILE READYSmithfield Heights/sandy Mount ManorCONFIRM CHANNELSmithfield, Town ofE-FILE READYSommersbyCONFIRM CHANNELSouth ForkCONFIRM CHANNELSouth Hill, Town ofE-FILE READYSouth Rivanna WTPCONFIRM CHANNELSouth River Sanitary DistrictCONFIRM CHANNELSouthampton Jail FarmE-FILE READYSouthampton MeadowsE-FILE READYSpotsylvania County UtilitiesE-FILE READYSpring Meadows-Meadow GateCONFIRM CHANNELSpring Valley SubdivisionE-FILE READYSpringwood SubdivisionCONFIRM CHANNELST Paul, Town ofE-FILE READYST. Brides Correctional CenterE-FILE READYST. Johns CrossingE-FILE READYST. Pauls Church-OwensCONFIRM CHANNELST. Tammany LandingCONFIRM CHANNELStafford County UtilitiesE-FILE READYStagecoach HillsCONFIRM CHANNELStallion Run EstatesCONFIRM CHANNELStanley Mobile Home Park - NorthCONFIRM CHANNELStanley Mobile Home Park - SouthCONFIRM CHANNELStanley, Town ofE-FILE READYStaunton, City ofE-FILE READYStephens City, Town ofE-FILE READYStewartsville ConsecutiveCONFIRM CHANNELStoneleighE-FILE READYStoney CreekCONFIRM CHANNELStoney Creek Sanitary DistrictE-FILE READYStoney Creek VillageCONFIRM CHANNELStony Creek, Town ofE-FILE READYStony Springs SubdivisionCONFIRM CHANNELStrasburg, Town ofE-FILE READYStratford HarbourPORTALStuart, Town ofE-FILE READYSuffolk, City ofE-FILE READYSun Valley Trailer ParkCONFIRM CHANNELSunnybrook SubdivisionCONFIRM CHANNELSunray Artesian Water SupplyCONFIRM CHANNELSunray Water Co., INC.CONFIRM CHANNELSurry, Town ofCONFIRM CHANNELSwords Creek - RcpsaCONFIRM CHANNELTangier, Town ofE-FILE READYTanglewood Section ACONFIRM CHANNELTanglewood Section UCONFIRM CHANNELTappahannock, Town ofE-FILE READYTartanCONFIRM CHANNELTauxemontCONFIRM CHANNELTavenner ParkE-FILE READYTazewell, Town ofE-FILE READYTcpsa - Big Creek/coaldanCONFIRM CHANNELTcpsa - Daw RoadCONFIRM CHANNELTcpsa - Fort WittenCONFIRM CHANNELTcpsa - GrattonCONFIRM CHANNELTcpsa - Jewell RidgeCONFIRM CHANNELTcpsa - Raven/doranCONFIRM CHANNELTeel Brooke EstatesE-FILE READYThe ColoniesCONFIRM CHANNELThe Homestead Water CompanyE-FILE READYThe MeadowsE-FILE READYThe RetreatCONFIRM CHANNELThe Waters EdgeCONFIRM CHANNELThomas Bridge Water CorpCONFIRM CHANNELThomas Park CommunityCONFIRM CHANNELThomastown/crowdertown/switchback - BcsaCONFIRM CHANNELThompson Creek - RcpsaCONFIRM CHANNELThree Springs Regional - RcpwCONFIRM CHANNELTidewater MHPCONFIRM CHANNELTightsqueeze Water SupplyCONFIRM CHANNELTilmans FarmCONFIRM CHANNELTimber Ridge SubdivisionCONFIRM CHANNELTimberlake CrossingCONFIRM CHANNELTimberville, Town ofCONFIRM CHANNELTimbuctu SubdivisionCONFIRM CHANNELToms Brook-Maurertown Sanitary DistrictE-FILE READYTormentor Creek EstatesCONFIRM CHANNELTower RoadCONFIRM CHANNELTowles LandingCONFIRM CHANNELTown of IvorCONFIRM CHANNELTown of SaludaCONFIRM CHANNELTown of UrbannaE-FILE READYTownfield-PrlE-FILE READYTrails EndE-FILE READYTrevilians Square ApartmentsCONFIRM CHANNELTrevors BendCONFIRM CHANNELTriangle Enterprises MHPCONFIRM CHANNELTroutdale, Town ofCONFIRM CHANNELTroutville, Town ofE-FILE READYTucker Recreation ParkCONFIRM CHANNELTurnbullCONFIRM CHANNELTwin Boulders SubdivisionCONFIRM CHANNELTwin CedarsCONFIRM CHANNELTwin Oaks CommunityCONFIRM CHANNELTwin Oaks Mobile Home ParkE-FILE READYUpper Smith River Water SupplyE-FILE READYUrbanna Harbour, LLCCONFIRM CHANNELVa American South Hill BanksPORTALVa American Water Bay HarborPORTALVa American Water Greenfield Harbor IPORTALVa American Water Greenfield Harbor IIPORTALVa American Water Jetty's Reach IIIPORTALVa American Water Lucom PointPORTALVa American Water Spriggs LandingPORTALVa American Water Upper Bay View EstatesPORTALValley Mills CrossingCONFIRM CHANNELValley ViewCONFIRM CHANNELValley View SubdivisionCONFIRM CHANNELVenter Heights SubdivisionCONFIRM CHANNELVerona - Weyers CaveCONFIRM CHANNELVicker HeightsCONFIRM CHANNELVictoria, Town ofE-FILE READYVienna, Town ofE-FILE READYVillages of SmithfieldCONFIRM CHANNELVineyard GroveCONFIRM CHANNELVint HillCONFIRM CHANNELVirgilina, Town ofE-FILE READYVirginia Beach, City ofE-FILE READYVirginia Carolina Water AuthorityE-FILE READYVirginia International RacewayE-FILE READYVirginia LandingE-FILE READYVirginia RidgeE-FILE READYVirginia-American Water Co.PORTALVista Pointe LandingCONFIRM CHANNELWakefield, Town ofCONFIRM CHANNELWalker CreekCONFIRM CHANNELWalkerton Water System, INC.CONFIRM CHANNELWallace ManorCONFIRM CHANNELWalnut Grove MHPCONFIRM CHANNELWalnut Grove No 1CONFIRM CHANNELWalnut ManorCONFIRM CHANNELWalnut RunCONFIRM CHANNELWare Creek Manor - JcsaE-FILE READYWarrenton, Town ofE-FILE READYWarsaw, Town ofE-FILE READYWashington County Service AuthorityCONFIRM CHANNELWashington, Town ofE-FILE READYWaterloo EstatesCONFIRM CHANNELWaterview Mobile Home ParkCONFIRM CHANNELWatsons Gap Water SystemCONFIRM CHANNELWaverly SubdivisionCONFIRM CHANNELWaverly, Town ofPORTALWaynesboro, City ofE-FILE READYWayside Acres Subdivision # 1CONFIRM CHANNELWayside Acres Subdivision # 2CONFIRM CHANNELWayside AreaE-FILE READYWcpsa-PoundE-FILE READYWedgewood SubdivisionCONFIRM CHANNELWeemsCONFIRM CHANNELWesgateCONFIRM CHANNELWest Point, Town ofE-FILE READYWestern Virginia Water AuthorityCONFIRM CHANNEL
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BackflowGo fills the correct official form for this state and tracks each purveyor's submission channel.
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