Answers to fields and questions with an asterisk ( * ) are mandatory
Any personal information on this form is collected under the authority of By-law No. 10-103 and will be used for the protection of the City of Hamilton’s Water Distribution System from reverse flow.
Information collected for the Backflow Prevention Bylaw will be stored on servers located in Canada and the United States, and may be subject to Canadian and/or American laws.
Questions about the collection of this information should be directed to
City of Hamilton, Backflow Prevention Program. 330 Wentworth Street North Hamilton, Ontario L8L 5W2. firstname.lastname@example.org