Get 916 341 5819 Form

Completing the 916 341 5819 Form is a key step in applying for an Operator-in-Training certification for wastewater treatment plants. This guide provides a clear, step-by-step approach to ensure you fill out the form efficiently and accurately.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the 916 341 5819 Form and open it in your browser.
2. Begin with the Certification Grade and Fees section. Select the appropriate grade level for which you are applying and note the associated fee that must accompany your application.
3. Move to the Applicant Information section. Fill in your last name, first name, and middle name. Provide your mailing address, including apartment number, city, county, state, and zip code. Indicate if your address has changed by checking the relevant box.
4. Enter your contact information, including both cell and home telephone numbers. You must also provide the last four digits of your Social Security Number and your date of birth.
5. Next, add your email address and check the box if you wish to receive public notices from the Operator Certification Program.
6. Indicate whether you are currently a certified Wastewater Treatment Plant Operator in California. If yes, specify your grade and certificate number.
7. Fill in your Employer Name, address, and telephone number. Ensure the information is current and correct.
8. In the Education and Training section, confirm your high school graduation status or equivalent. List any universities or colleges attended, course of study, units completed, and certificates obtained.
9. Detail your current wastewater treatment plant experience, including job classification, average hours worked per week, and job duties. You must provide a duty statement on official letterhead or signed by the Chief Plant Operator.
10. If applicable, list your previous wastewater treatment plant experience, ensuring to provide separate entries for each position.
11. In the Prior Actions section, answer whether any certifying body or court has taken actions against you related to wastewater treatment duties. If yes, provide an explanation.
12. Finally, complete the Signature of Applicant section by certifying the information provided is accurate. Print your name, sign in blue ink, and date the application.
13. Ensure you have reviewed all sections, saved your changes, and then download, print, or share your completed form as needed.

Begin filling out your 916 341 5819 Form online today to take the next step in your wastewater treatment career!