Certification and Training Program

INFORMATION

FORMS

CERTIFICATION REQUIREMENTS

ID CARD SYSTEM

STUDY MATERIALS

EXAM SCHEDULE

REGULATIONS

CONTINUING EDUCATION

AWARENESS

DRIPS AND DROPS

PROGRAMS

DRINKING WATER OPERATORS

WASTEWATER OPERATORS

WATERWELL CERTIFICATION PROGRAM

MONITORING WELL DRILLERS CERTIFICATION TESTING

BACKFLOW PREVENTION

CONTACT

DISTRICT OFFICES

STAFF

CONTACT US

LINKS

           West Virginia Department of Health & Human Resources logo


Water Operator Forms

  • EW-102   Request for Water or Wastewater Operator Certification Exam
  • EW-211  Request for Water Operator Certification
  • EW-212  Request for Water or Wastewater Operator Certification Renewal
  • EW-104  Personnel StatusReport/Employment Changes
  • EW-74     Water or Wastewater Operator Resignation Notice
  • EW-108   Request for Water or Wastewater Operator Certification from Another Jurisdiction
  • EW-126   Request for Certification Reinstatement
  • EW-76     Request to be Included on the West Virginia’s Contract Operator List
  • EW-78     Operator Continuing Education Hour (CEH) Application

Backflow Forms

  • EW-75    Request for Backflow Prevention Assembly Tester Certification
  • NA            General Backflow Assembly Tester Inspection Form

Wastewater Operator Forms

  • EW-102   Request for Water or Wastewater Operator Certification Exam
  • ES-53       Request for Wastewater Operator Certification
  • EW-212  Request for Water or Wastewater Operator Certification Renewal
  • EW-104   Personnel Status Report/Employment Changes
  • EW-74      Water or Wastewater Operator Resignation Notice
  • EW-108   Request for Water or Wastewater Operator Certification from Another Jurisdiction
  • EW-126   Request for Certification Reinstatement
  • EW-76      Request to be Included on the West Virginia’s Contract Operator List
  • EW-78      Operator Continuing Education Hour (CEH) Application
  • ES-59        Summary of Wastewater Treatment Plant Operations

Well Driller/Pump Installer Forms

  • EW-125E      WV Well Driller & Pump Installer Certification Exam Application
  • EW-125A      Application for Master Well Driller Certification
  • EW-125B      Application for Journeyman Well Driller Certification
  • EW-125C      Application for Pump Installer Certification
  • EW-125D      Renewal Application for Well Drillers & Pump Installers
  • EW-125F      Application for Well Driller/Pump Installer Certification Inactivation/Reactivation
  • SW-256        Application for a Permit to Construct, Modify or Abandon a Water Well
  • SW-258        State of West Virginia Water Well Completion Report
  • SW-259        Water Well Violation Report
  • SW-261        Water Well Abandonment Report
  • SW-262        Water Well Pump Installation Report
  • SW-260        Request for Water Well Variance

WD/PI Fact Sheets

Click here for additional information on individual water supplies from Public Health Sanitation

Monitoring Well Driller Forms

  • EW-122  Request for Monitoring Well Driller Certification
  • WV DEP  Monitoring Well Driller Certification Program Verification of Mailing Address Form

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    Last updated May 15, 2018.