2. 
   

   City of Denison Fire Flow Test Request Form

   
   

4. Please complete the following information.
6. Contact Name:
7. Organization Name:
9. Email Address:
10. Phone Number:
12. Test Location (address, cross streets, parcel number, etc.):

14. Flow tests are done on Wednesday mornings. City staff will reach out to you to confirm a date/time for your test. City staff must be present to witness the test. Test results must be provided to staff witnessing the test in the field.

    By signing below you agree to these terms.

16. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
18. Electronic Signature
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field