State Water Resources Control Board
EXAMINATION APPLICATION
FOR WASTEWATER TREATMENT PLANT OPERATORSUSE THIS FORM ONLY FOR EXAMINATIONAPPLICATIONS I.

EXAMINATION GRADE AND FEES:

Check the Box to indicate which Grade Level you are applying for.
Grade I

Grade II

Exam
$163
Re-Exam$115

Grade IV

Grade III

Exam
$210
Re-Exam
$149

Exam
$399
Re-Exam$311

Grade V

Exam
$493
Re-Exam
$399

Exam
$493
Re-Exam$399

The Re-exam fee applies if an applicant previously took the same grade level exam.
If paid by electronic payment, write the Reference Code# _______________
Except for certain examination fees, fees are non-refundable. Please see instructions formore information.
II.

APPLICANT INFORMATION:

Name: Last:

First:

Mailing Address:

Middle:Apt. #:County:State:

City:

Zip:

Last Four digits of your Social Security Number: _________Date of Birth:___________
Check box if your address has changed.
FOR OFFICE USE ONLY
Examination Date:______________________

Approved/ Denied for grade:_______________

Total Educational Points:_________________

Reason for Denial:______________________

Signature of Reviewer:___________________

Date:_________________________________

Check if Pending due to deficiency$_______ Check, Money Order, ACH/CC Payment
Re-exam?

Yes

No

Rev. 09/2024

Telephone: Cell/Home: _____________________
Telephone: Work: _________________________
Email Address:
Check box to receive public notices from the Wastewater Operator Certification Program
III.

EDUCATION:

You must meet the minimum educational requirements to qualify for certification as per §3687,
in the Wastewater Regulations. Please see instructions for more information.
Did you graduate from High School or do you possess a GED or equivalent?
Yes
If you answered yes and you haven't already done so, submit a copy of your high school
diploma or GED.

No

Have you completed training coursework in math, wastewater, biology, chemistry, physics, orYes
Noengineering?
If you answered yes and you haven't already done so, submit a copy of the certificate ofcompletion that has your name, the instructors name and signature, the course name, thecourse providers name and the number of hours of instruction.
Have you completed college or university coursework in math, wastewater, biology,chemistry, physics, or engineering?
YesNo

If you answered yes and you haven't already done so, submit a copy of yourofficial college transcripts to verify your education.

Rev. 09/2024

IV.

SIGNATURE OF APPLICANT:As the undersigned applicant, I hereby certify that all facts and statements set forth aspart of this examination application are true and correct to the best of my knowledge
and belief. I understand that any omissions or misrepresentations may disqualify me
and may result in discipline as well as the imposition of civil liability. I authorize theState Water Resources Control Board to conduct a thorough investigation of myemployment and education record and other statements for the purpose of verificationof my qualifications for this examination. I acknowledge that with the exception ofcertain examination fees that are refundable pursuant to California Code ofRegulations, title 23, division 3, chapter 26, § 3700, subd. (e), all fees are nonrefundable.
Print Name:______________

Original Signature____________ Date:________PLEASE SIGN IN BLUE INK.
If you have a Reasonable Accommodation and need special testing arrangements,
submit a note with testing requests along with a letter from a professional authorized tomake such assessments and describe the specific accommodations that will berequired, to wwopcertprogram@waterboards.ca.gov or call (916)341-5819 no later
than the final filing date. The WWOCP will contact you to make specific arrangements.

Rev. 09/2024

INSTRUCTIONS FOR WASTEWATER TREATMENT PLANT
EXAMINATION APPLICATIONI.

EXAMINATION GRADES AND FEES

Check the box of the grade level for which you are applying. Attach a check or money orderfor the appropriate fee made payable to:“State Water Resources Control Board.” WWOCP can accept electronic payments to pay for
application fees. (Please note that fees are nonrefundable. (See California Code ofRegulations, title 23, division 3, chapter 26 (Operator Certification Regulations), § 3717, subd.
(a).)
Re-exam fee applies if an applicant previously took the same grade level exam at any time.
An applicant is eligible for the re-exam fee even if they passed a previous exam, so long as
the exam is the same grade level.

II. APPLICANT INFORMATION
Provide all of the requested information. The application must be received sixty days prior tothe examination date. Please notify the Wastewater Operator Certification Program (WWOCP)
immediately if your contact information changes. The WWOCP must be able to notify you incase there are any questions regarding your examination application.
Pursuant to the Federal Privacy Act of 1974 (Public Law 93-579), you are hereby notified thatit is mandatory to provide the last four digits of your social security number. Failure to provide
the requested information will result in denial of your examination application. The socialsecurity number will be used by the state solely for the purpose of identifying the applicant.
Applicants have the right to inspect records containing personal information maintained by theState Water Resources Control Board.
III. EDUCATION
Unless previously provided to the WWOCP, you must attach documents verifying youreducation, including:
Copy of high school graduation diploma or high school equivalent certificate.
Copies of official college transcripts, or certificates of completion for coursework to verify
completion of education requirements.
Copies of all wastewater treatment, math, engineering, biology, chemistry, physics, ormanagement courses that you have completed. You will only be given credit for training
courses that you have completed. You will not be given credit for courses that you arecurrently attending or are signed up to attend. The WWOCP must review and approve allcourses.
Please refer to the Training Directory for additional information. Applicants may not substituteexperience for educational points.
Rev. 09/2024

IV.

SIGNATURE OF APPLICANT

The application submitted to the WWOCP MUST include your ORIGINAL signature and date inblue ink. Please make a copy of your complete application for your files. Mail the originalcompleted application package to:

Mailing Address
Wastewater Operator Certification

Overnight Mailing Address
State Water Resources Control Board

State Water Resources Control Board

Wastewater Operator Certification

P.O. Box 944212
Sacramento, CA 94244-2120

1001 “I” Street, 17th Floor
Sacramento, CA 95814

Direct any questions concerning this application to: (916) 341-5819 or to the
wwopcertprogram@waterboards.ca.gov.

Rev. 09/2024