Water Well Drillers and Pump Installers Forms

These forms are available for download in Adobe Acrobat .pdf format. Acrobat Reader is necessary to view .pdf files. If you need to obtain a copy of this program it is available as a free download for Windows or Macintosh operating systems.

Please note the following policy regarding the filing of forms which collect a person's individual information:

"An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Department) is entitled to the following from the Department:

(1) to be informed about the information that the Department collects about the individual, upon the request of the individual and subject to a few exceptions;

(2) to receive and review the information, under Sections 552.021 and 552.023 of the Texas Government Code; and

(3) to have the Department correct information about the individual that is incorrect, under Section 559.004 of the Texas Government Code."

Form #001 WWD, Well Reports (39 KB download)

Form #002 WWD, State Well Report Submission Form (19 KB download)

Form #003 WWD, Report of Undesirable Water or Constituents

Form #004 WWD, Well Driller Plugging Reports (24 KB download)

Form #005 WWD, Manufactured Screen Waiver (15 KB download)

Form #014 WWD, Well Driller and Pump Installer Continuing Education Course List

Form WWD015, Well Driller and or Pump Installer License Application (75 KB download) - also includes Experience Verfication Form, revised August 2014

Experience Verfication Form, revised January 2014 (26 KB download)

Form #023 WWD, Variance Request Form (64 KB download)

Form WWD016, Notice of Change and Duplicate License Request (37 KB download), revised June 2014

Order a Duplicate License Online

Request to Executive Director for Expired License Renewal Form (33 KB download)

Abandoned Well Determination Checklist (22 KB download)

Abandoned Well Referral Form (18 KB download)

Form #007 ALL, Complaint Form (97 KB download)

Form #002 LIC, Criminal History Questionnaire (69 KB download)

Form AP-152, Texas Application for Payee Identification Number (51 KB download from the Texas Comptroller's Office, will open in a new window)

Plugging Guide, Landowner's Guide to Plugging Abandoned Water Wells (816 kb download)

Well Disinfection, Informative brochure regarding private well disinfection (32 KB download)

Disciplinary Action Questionnaire (13 KB download)

Criminal History Evaluation Letter

Military Spouse Application (24 KB download) - see Military Spouse Frequently Asked Questions

 

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