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Instructions

How to Fill Out a Digital Form

Optionally, you can fax, email, or mail your completed form, along with a copy of your receipt, to:

Division of Drinking Water
195 N 1950 W
Salt Lake City, Utah 84116
Fax# (801) 536-4211

Operator Certification Forms and Fees

If you have questions about Operator Certification call Dawnie Jacobo (801) 536-4217

Certification of Reciprocity for Other States

Reciprocity is given on a case by case basis. Contact Kim Dyches at (801) 536-4202 for qualifications.
$100 Pay Online

Conference Exam Applications

Sign up to take the exam at a Rural Water conference..
$100 Pay Online

Written Exam Application

Sign up to take a written exam.
$100 Pay Online

Reinstatement Application

Reinstate a lapsed certification.
$200 Pay Online

Renewal Application

Renew your license. To expedite renewal, email renewal receipt to dmjacobo@utah.gov
$100 Pay Online

Specialist Conversion

Water operator to water specialist.
$20 Pay Online

Backflow Technician Applications and Fees

If you have questions about Backflow Certification call Michael Moss ((801) 536-0089

Backflow Technician Reciprocity Application

Reciprocity is given on a case by case basis. Contact Mike Moss (801) 536-0089 for qualifications.
$225 Pay Online

Backflow Certification Exam—Class I Program Administrator

Application to be completed at exam site.
$175 Pay Online

Backflow Certification Exam—Class II Backflow Assembly Tester

Application to be completed at exam site.
$225 Pay Online

Backflow Certification Renewal—Class I Program Administrator

Application to be completed at exam site.
$175 Pay Online

Backflow Certification Renewal—Class II Backflow Assembly Tester

Application to be completed at exam site.
$225 Pay Online

Backflow Technician Retest

Contact Mike Moss (801) 536-0089 to schedule.
$145 Pay Online

Backflow Technician Replacement Certificate

$25 Pay Online