Experience Verification Form - LLR 2026

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  1. Click ‘Get Form’ to open the Experience Verification Form - LLR in our editor.
  2. Begin by entering the Operator’s Name and License Number at the top of the form. Ensure accuracy as this information is crucial for verification.
  3. Select the License Type by checking one of the options: Biological Wastewater, Physical/Chemical Wastewater, Water Distribution, or Water Treatment.
  4. Fill in the Name and Address of the facility where your operating experience was gained, including the SC DHEC system or permit number.
  5. Provide details about your Immediate Supervisor, including their name and title, along with a description of your work experience at the facility.
  6. Indicate your Requested License Level and Average Hours Worked Per Week. Be sure to include both full-time and part-time employment dates.
  7. Finally, review all entries for completeness before signing as the Operator of Record. Submit electronically for faster processing.

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