Get Work Completion Form

The Work Completion Form is a critical document for private water system contractors to report job status and detail completed work. This guide provides clear and concise steps to help users effectively fill out the form online, ensuring compliance with relevant regulations.

Follow the steps to complete the Work Completion Form online:

1. Press the ‘Get Form’ button to access the Work Completion Form online and open it in your editor.
2. Fill out the permit information section. Provide the registration number of the private water systems contractor and the address of the property where the work was conducted. Be sure to include the contact phone number and the county in which the property is located.
3. In the job status section, indicate whether the installation is for new construction or an alteration. Specify the date on which you completed this portion of the work.
4. List all work completed briefly, using clear descriptions (for example, 'drilled well', 'set pump', etc.). Make sure to provide accurate and concise details.
5. Move on to the completion form section. Document all relevant information regarding the work materials, placement, and installation methods used.
6. Complete the specifics for the pitless adapter or unit. Indicate the style, manufacturer, and depth below grade.
7. Provide details on the method of cutting the hole in the casing and documentation of how the pitless is attached.
8. For the pump section, specify the depth of the pump setting or intake, and the type of pump being used (submersible, jet, or hand pump).
9. Detail the water pipe/line material used, both outside and inside the foundation, referencing ASTM standards as applicable.
10. Include information on service connections, yard hydrants, and backflow protection devices installed.
11. After completing all sections, review the entire form for accuracy and completeness.
12. Once satisfied with the form, save your changes, and choose to download, print, or share the completed Work Completion Form.

Complete your Work Completion Form online today to ensure timely submission and compliance.