Iowadnr portalsidnrWater and Wastewater Operator Certificaiton Program Affidavit 2025

1. Click ‘Get Form’ to open the iowadnr portalsidnrWater and Wastewater Operator Certification Program Affidavit in the editor.
2. Begin by filling out the 'CERTIFIED OPERATOR COMPLETES' section. Enter your name, certification number, address, expiration date, city, state, phone, email, zip code, certificate type, and grade for water treatment and wastewater treatment.
3. Next, complete the 'OWNER/REPRESENTATIVE OF FACILITY COMPLETES' section. Provide the facility name, address, county, city, state, phone number, email address, and zip code. Indicate if the operator will have direct responsibility for each facility type listed.
4. In the 'ADDITIONAL INFORMATION REGARDING FACILITY OPERATION AND MAINTENANCE' section, list responsible persons for daily activities and compliance samples. Clearly describe their roles and responsibilities.
5. Complete the affidavit sections by typing or printing your name and title. Ensure both the operator and owner sign and date their respective affidavits.
6. Finally, submit four original notarized affidavit forms to the appropriate Iowa DNR Field Office as indicated in the document.

Start using our platform today to streamline your form completion process for free!