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 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
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

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