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3900FMBSDW0412d Rev. 5/2015 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION State Board for Certification of Water and Wastewater Systems Operators 400 Market St., P.O. Box 8454.

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How to fill out the 3900 Fm Bsdw0412d online

The 3900 Fm Bsdw0412d form is an important application for certification through reciprocity to operate water or wastewater systems in Pennsylvania. This guide will provide you with step-by-step instructions on completing the form accurately and efficiently.

Follow the steps to complete the application online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out Part 1: Applicant information. Ensure to PRINT CLEARLY your name, address, social security number, email address, and telephone numbers. Provide a birthdate as well.
  3. Move to Part 2: Certificate request. Depending on your certification category, attach a copy of your valid out-of-state license along with the Pennsylvania Criminal Background Check if you are applying for reciprocity.
  4. Complete Part 3: Education. List your education credentials, including high school diploma, course completion certificates, and college degrees. Make sure to include your official college transcripts and/or course completion certificates.
  5. In Part 4: Certification history, indicate whether you hold any valid water or wastewater treatment operator's certificates. If yes, provide details, including class, subclass, and certificate number.
  6. Proceed to Part 5: Operating experience. Detail your work experience in the water or wastewater systems, including system names and permit numbers, positions held, and dates of employment. Make sure to specify the treatment technologies and operator duties performed.
  7. After completing all sections, review the entire form for accuracy. Ensure all required documents and fees are included before final submission.
  8. Finally, save changes, download, print, or share the completed form as needed.

Complete your documents online today for a seamless certification process.

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Related content

Documents and Forms - PA DEP - PA.gov
3900-FM-BSDW0412b 1/2012; Application for Certification through Reciprocity to Operate...
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232