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

• How to Disinfect a Private Water Well
• Potable water hauling information
• Water Well Pumping Systems - Private Well Owners
• What to Do Before Drilling the Well - Private Well Owners
• Four Steps to Water Well Safety - Private Well Owners

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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to the program or the webmaster.

Last updated May 01, 2013.