Forms

Training & Certification

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 Status Report/Employment Changes

EW-74 Water or Wastewater Operator Resignation Notice

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

EW-107 Certified Operator Waiver Application

 

 

FORM EW-108 FOR OUT OF STATE RECIPROCITY REQUESTS

EW-108 Request for Water or Wastewater Operator Certification from Another Jurisdiction

 

Backflow Forms


EW-75 Request for Backflow Prevention Assembly Tester Certification

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-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

EW-107 Certified Operator Waiver Application

 

 

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 Reports

W-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

Additional information on individual water supplies from Public Health Sanitation

 

Monitoring Well Driller Forms


WV DEP Monitoring Well Driller Certification Program Verification of Mailing Address Form