Get Wv Dhhr Form Ew 212

Filling out the Wv Dhhr Form Ew 212 online can streamline the process of renewing your water or wastewater operator certification. This guide will provide you with clear instructions to ensure your application is complete and accurate.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the application date in the format mm/dd/yy. This refers to the date you are completing the form.
3. Fill in your date of birth using the mm/dd/yy format. Ensure this information is accurate, as it may be used for verification purposes.
4. Clearly print your first name, last name, middle initial, and suffix if applicable. This information should match your official identification.
5. Provide your home phone number and address, ensuring all fields are filled out completely. Include your city, state, zip code, and county. Indicate whether you have a new address.
6. Input your certification number, email address, and the expiration date of your certification in the required format.
7. Select the certification type you need to renew by checking the appropriate box. Make sure to review the fees associated with each class.
8. List the course information, ensuring to provide the CEH number, course title, course sponsor, length of the class in hours, and the dates you attended. Attach copies of your completion certificates.
9. Review the certification statement about truthfulness and compliance with state laws. Sign and date the form.
10. Once you have completed all the fields and ensured everything is accurate, save the changes, download the form, and prepare to print or share it as necessary.

Complete your documentation online to ensure a smooth renewal process.