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Drinking Water Distribution Exam Application

PHONE (916) 449-5611 // FAX (916) 449-5654 // EMAIL SWRCB 8631 (6/2020) / Distribution Exam Application S: \DDW\EEC\Cert-Unit\WTOC GOLD\DistributionAPPLICATION FOR Water Distribution OPERATOR EXAMINATION, RE-EXAMINATION, OR EXAMINATION FOR RESTRICTED CERTIFICATE1. The Water Distribution Operator Examination, Re-Examination, or Examination for Restricted Certificate Application form (SWRCB 8631 (6/2020)) must be filled out completely and postmarked by the final filing date of the examination you wish to participate in. For an Application to be considered complete, the following must be provided: Personal information (name, date of birth, high school information, last four digits of SSN, etc.)

ALL INFORMATION MUST BE COMPLETED ON THE APPLICAT. ION AND COURSEWORK . VERIFIED EVEN IF YOU HAVE PREVIOUSLY SUBMITTED IT. 2. All minimum educational qualifications must be met by the final filing date of the exam you wish to participate in. If you have not completed the required specialized training course by the final filing date, your

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