Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the general information. This includes the site identification and physical location, along with the county, municipality, or special area designated in Alberta.
3. Provide company information, including the full company name and ERCB license information. Check whether the applicant is an ERCB Licensee and provide the applicable responses.
4. Fill in the site jurisdictions, indicating whether the land is public or private, and provide any required identification numbers such as Crown Disposition numbers.
5. Specify the activity type by checking all applicable boxes regarding operations on the site, such as whether it is a drilled and abandoned wellsite or another facility type.
6. List associated facilities that must be certified or have a signed release from the landowner. Mark any associated facilities relevant to your application.
7. Complete the stakeholders section by providing contacts for the applicant, the consultant preparing the application, landowners, and occupants if applicable.
8. Indicate the criteria category used to assess the site, along with the relevant dates regarding construction and abandonment.
9. Fill out information regarding contamination and environmental site assessments that have been completed. Be thorough in describing any phases and results from assessments conducted.
10. Complete the professional assurance section with details of the professionals who signed off on the assessments and their respective qualifications.
11. Read and complete the applicant declaration carefully, ensuring that all required information is accurate and reflects true records.
12. Check the application submission checklist to confirm that all required documents and forms are completed and attached.
13. Once all sections are duly filled, save changes as needed. Download, print, or share the form according to your submissions method.

Begin filling out your Wellsite Reclamation Certificate Application online today to ensure compliance and certification.