Water & Wastewater Facility Operators Certification Program - Application Forms

Application Forms

• Facility Application Classification Forms
   
• Table of Organization - Sample Forms
   
• Operator Certification Application Forms

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Facility Classification Applications Forms

• Application for Water Distribution Facility Classification (October 2008) (pdf 222KB)
• Application for Wastewater Collection Facility Classification (October 2008) (pdf 219KB)
• Application for Water Treatment Facility Classification (October 2008) (pdf 406KB)
• Application for Wastewater Treatment Facility Classification (October 2008) (pdf 415KB)

DRAFT Guidelines for Water Plant Classification (pdf 30KB)

Emergency Response Plan Template for Water Utilities (pdf 450KB)

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Table of Organization - Sample Forms

Section 24 of Manitoba Regulation 77/2003, Water and Wastewater Facility Operators Regulation, states "Facility owner must file table of organization".

Samples of tables of organization have been prepared in Word and PDF.

These samples can be used as a guide - use one of the sample tables from one of the following files.

• Word (with sample positions) (Word 59KB) or
• PDF (with sample positions) (pdf 117KB)
• Word (blank) (Word 55KB)
• PDF (blank) (pdf 121KB)

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Operator Certification Application Forms

• Application for Operator Certification (February 2009) (pdf 1,861KB)
  NOTE: In addition you must fill out the Appendices corresponding to the class(es) of certificate applying for:
  • Appendix A: Small System (pdf 191KB)
  • Appendix B: Class 1 (pdf 195KB)
  • Appendix C: Class 2 (pdf 242KB)
  • Appendix D: Class 3 (pdf 239KB)
  • Appendix E: Class 4 (pdf 598KB)
  • Appendix F: Operator-In-Training (pdf 178KB)
     
• Application for Operator Certification through Reciprocity (October 2008) (pdf 265KB)

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