Regulated backflow assembly application

You can download a regulated backflow assembly (RBA) application and test report form.

Download and complete the form.

This page links to PDF files. Use this link to download Adobe Reader if needed.

PDF, 721KB

If you need help with this information, please email 311, or call 311 or 612-673-3000.

Please tell us what format you need. It will help us if you say what assistive technology you use.

Community Planning & Economic Development

Phone

612-673-3000

TTY

612-263-6850

Address

Public Service Building
505 Fourth Ave. S., Room 220
Minneapolis, MN 55415

Service Center hours
Monday - Thursday
8:00 a.m. - 4:00 p.m.
Friday
9:00 a.m. - 4:00 p.m.

What to know