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Registration and Application Forms - Oregon.gov

Registration and Application Forms - Oregon.gov 2026

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The document is an application form for re-examination or rescheduling of the Operator Certification Exam by the Oregon Department of Environmental Quality (DEQ). It outlines the necessary steps, including submitting a completed form and fees within one year of the initial exam date. The form requires personal information, contact details, certificate type selection, and payment information. It also includes a checklist for applicants to ensure all requirements are met before scheduling an exam.

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Click ‘Get Form’ to open the Registration and Application Form in our editor.
Begin by filling out Section A, 'APPLICANT INFORMATION'. Enter your last name, first name, middle name, and the last four digits of your Social Security Number.
Proceed to Section B, 'MAILING ADDRESS AND CONTACT INFORMATION'. Input your address, city, state, home phone number, work phone number, zip code, and required email address. Indicate if this is a change of mailing address.
In Section C, 'CERTIFICATE TYPE AND GRADE', select the appropriate exam type for wastewater collection or treatment. Choose one grade per form.
Complete Section D by noting the re-examination fee of $240. If you wish to receive a payment receipt, check that option.
Finally, sign and date in Section E to confirm your application. Review the APPLICATION CHECKLIST to ensure all requirements are met before submission.

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