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Application for installation

Please use this form to notify us of any proposal to install a BA Verifiable Backflow Preventer with Reduced Pressure Zone Valve.

We will notify you within 10 days of receipt of your application whether your request has been successful.

Fields marked with * are mandatory.

Company name and address seeking approval


Installation address


Company details (if different from above)


Installation details

Data protection: The information you provide may be used by Affinity Water to provide you with water services, give you information about your water supply and manage your account; including the collection and recovery of charges. We also collect charges on behalf of Thames Water and Anglian Water who provide sewerage services in our supply area. Read our full privacy policy.

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