COVID-19: In an effort to reduce the spread of COVID-19, The Utah Department of Environmental Quality is limiting person-to-person contact and will close our offices to the public starting on April 3. Please contact DEQ here to conduct business.

Cross Connection Control Program Administrator
Certification Application

Step 1

Fill out the application form completely (official correspondence will be mailed to you at the address you provide on this page).

Step 2

New applicants must provide a notarized copy of his/her citizenship form, INCLUDING GOVERNMENT PICTURE I.D.

Initial CertificationRenewalReciprocity

Personal Information



Course Information

Continuing Education Units (CEUs)


CEUs in the Past Year

Agree and Submit

I Agree