Appendix 9998. FORMS (18VAC160-20)

Continuing Professional Education (CPE) Application Certificate of Completion, A436-19CPE-v2 (rev. 5/2013)

Provisional Description & Experience Verification Application - Provisional Applicants Only, A436-1955_65PEXP-v3 (eff. 12/2014)

Training Course Approval Application, A465-19CRS (rev. 5/2013)

Experience Verification Application - Onsite Sewage System Applicants Only, A436-19OSSEXP-v3 (rev. 1/2013)

Experience Verification Application - Waterworks and Wastewater Works Operators Applicants Only, A436-19WWEXP-v3 (eff. 1/2014)

Out-of-State Facility Description & Experience Verification Application, A436-19STATE_EXP-v3 (eff. 4/2015)

Education & Training Substitution Form, A436-19EDTR-v3 (eff. 1/2014)

Onsite Soil Evaluator License Application, A465-1940LIC-v1 (eff. 1/2014)

Onsite Sewage System Installer License Application, A465-1944LIC-v2 (eff. 10/2015)

Onsite Sewage System Operator License Application, A465-1942LIC-v1 (eff. 1/2014)

Suspension of Examination – Conventional Onsite Sewage System Installer License Application, A436-1944WAIV-v4 (eff. 8/2015)

Provisional Waterworks Operator License Application, A436-1955PLIC-v1 (eff. 1/2014)

Provisional Wastewater Works Operator License Application, A436-1965PLIC-v2 (rev.1/2014)

Waterworks & Wastewater Works Operator - Upgrade Provisional License Application, A436-1955_65UPG-v2 (rev. 1/2014)

Waterworks Operator License Application, A436-1955LIC-v2 (rev. 1/2014)

Wastewater Works Operator License Application, A436-1965LIC-v1 (eff. 1/2014)

Waterworks Operator - Upgrade License Application, A436-1955UPGLIC-v1 (eff. 1/2014)

Wastewater Works Operator - Upgrade License Application, A436-1965UPGLIC-v1 (eff. 1/2014)

Waiver of Examination - Conventional Onsite Sewage System Operator License Application, A436-1942WAIV-v1 (eff. 8/2014)