Forms

Forms Relating to Well Construction/Abandonment

Click HERE to Link to the APS webpage with the following forms...

• Well Construction Record, Residential (GW-1a)
• Well Construction Record, Non-Residential (GW-1b)
• Well Abandonment Record (GW-30)
• ...as well as forms for Injection Wells and Groundwater Remediation.

Forms Relating to Certification

    (WCC-2)  Letter of Reference for Certification Applicant 

    (WCC-5)  Request for CE Extension

    (WCC-6)  Oral Exam Request

    (WCC-7)  Out-Of-Cycle/Retake Exam Request

    (WCC-8)  Continuing Education Approval Request

    (WCC-9)  Address Change Form

    (WCC-15) Services Offered Change Form

    (WCC-16) Reduce Level Request Form

Forms Relating to Enforcement

    (WCC-10) Well Contractor Certification Inspection Report

    (WCC-11) Affidavit Form_Homeowner

    Disciplinary Referral Guidelines

    (WCC-12) Disciplinary Action Request Form