Certified Operator Forms

Form to be filled out by Public Water Systems with Primary and, if applicable, Secondary Distribution Operator data and zero or more treatment plants. This form is applicable to all PWS. Version: 2026-02-02

Form to be filled out by Public Water Systems if more space is needed to list Secondary Distribution Operator data. Version: 2026-02-02

Form to be filled out by Public Water Systems with at least one treatment facility. A form should be completed for each treatment facility with Primary and, if applicable, Secondary Treatment Operator data and treatment facility staffing coverage for each treatment facility. Version: 2026-02-02.

Form to be filled out by Public Water Systems if more space is needed to list Secondary Treatment Operator data. Version: 2026-02-02

Form to be filled out by Public Water Systems if more space is needed to list treatment facility staffing coverage. Version: 2024-05-28

Form to be filled out by Public Water System Owner and Certified Operator to list operator(s) to be in charge of the Public Water System. To be used during initial agreements between the Owner and the Certified Operator. Requires signature from Owner and Certified Operator.

Form to be filled out by Certified Operator to describe any changes to the primary or secondary operators in charge of the Public Water System. Can be used if the only change to the agreement between the Owner and the Operator is the name of the primary and/or secondary operator.

Form to be filled out by certified drinking water operators and contract operator companies that want to be listed in the individual or company directory.