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Operator Certification Forms & Fees

For questions regarding Operator Certification contact Dawnie Jacobo (801) 536-4217.

Online Proctored Exam Application

Schedule an appointment to take an online certification exam by contacting the Rural Water Association of Utah.
The online exam fee of $150 includes the $30 online testing fee in the price.

Paper Exam Application

Register for a paper certification exam.
PDF Pay $200

Renewal Application

Renew your license. Please only submit one application
Form PDF Pay $150

Reinstatement Application

Reinstate a lapsed certification.
PDF Pay $300

Certification of Reciprocity for Other States

Request to accept certification from another state. Reciprocity is given on a case by case basis.
PDF Pay $150

Citizenship Certification Form

All applicants must submit a notarized Citizenship Certification Form. This is a one-time only requirement.

Course CEU Application

For trainers/instructors. Contains class sign-in sheet.

Individual CEU Application

Attach proof of attendance (certificate of completion, activity agenda, attendance sign-in, etc).

Unrestricted Certificate Application

Utah uses a unique system that allows people to become certified before having the required experience. Check to see if you meet the Minimum Requirements for Unrestricted Status.

Backflow Technician & Program Administrator Applications and Fees

For questions about Backflow Certification contact Gary Rager (801) 536-4498

Program Administrator Annual Renewal

Pay $125

Program Administrator Exam

Application to be completed at exam site.
Pay $225

Backflow Assembly Tester

Pay your initial certification fee. Also use this link to pay for your re-certification fee every 3 years. Application to be completed at exam site. (Does not include 3rd party exam fee)
Pay $225

Reciprocity Application

Reciprocity is given on a case by case basis. Contact Gary Rager (801) 536-4498 for qualifications.
PDF Pay $225

Cross Connection Control Certificate Replacement

Please contact Gary Rager and request the replacement.
Pay $25