Get Operator Registration - Wv Department Of Environmental Protection ...

This guide provides clear and supportive instructions for completing the Operator Registration form from the West Virginia Department of Environmental Protection. It is designed to help users successfully navigate and fill out the form accurately and efficiently, ensuring compliance with state regulations.

Follow the steps to complete the Operator Registration form online.

1. Click ‘Get Form’ button to obtain the Operator Registration form and open it in your document editor.
2. In the field for 'Operator FEIN', enter the Federal Employer Identification Number associated with your entity.
3. Select the purpose of filing by marking the appropriate option: New Filing, Correction, or Annual Renewal.
4. Provide the well operator name in the designated field.
5. Fill in the address, including city, state, and zip code.
6. Enter a contact telephone number, ensuring the area code is included.
7. Complete the contact name field with the name of the person to reach for inquiries.
8. If applicable, provide a fax number for communication.
9. Provide an email address for electronic correspondence.
10. In the bonding information section, select the type of bond being submitted: Blanket Bond or Single Well Bond(s), and specify the Surety Bond, Cash Bond, or Letter of Credit as applicable.
11. Clearly state the name and address of the surety, bank related to the letter of credit, or a description of securities or collateral posted.
12. Designate an agent by providing their name and address, including contact details.
13. Sign the form with your name, title, and date, ensuring accuracy in the declaration under penalties of law.
14. If this is a new designation of agent, obtain the agent's signature and have it notarized as required.
15. Once all sections are complete, save your changes, and download or print the form for your records.

Complete your Operator Registration form online today to ensure compliance and streamline your reporting process.