INSTRUCTION FOR COMPLETION OF (FORMGEN215B) “Report on Test and Maintenance of Containment Backflow Prevention Assembly” Use a separate form for each particular assembly Indicate Initial Test or Annual Test by checking the appropriate choice. Initial Test and Certification: Complete all 4 parts. Annual Test/Re-Certification: Complete parts A and B only Please follow these tips to have the form completed: Part A: To be completed in ALL cases for the current address, block and