Well Tester Field Exam Application
This form is for use ONLY by:
1) Well testers who are CURRENTLY CERTIFIED by DWR to test meters or determine power consumption coefficients;
2) Applicants who have passed a Written Exam AND have been approved by DWR to take a Field Exam to complete their certification.
To obtain your new or extended certification, you must:
1) have the right to access a well for the purpose of certifying the associated meter or PCC;
2) submit this form; and,
3) after submitting this form you will be emailed an invoice with a link to pay the $75 online.
Once payment has been received, a DWR tester will contact you to schedule the field examination.
Sign in to Google
to save your progress.
Type of Certification
Totalizing Flow Meter (TFM Certificate)
Power Consumption Coefficient (PCC Certificate)
Location of Test Well
South Platte River Basin
Republican River Basin
Arkansas River Basin
Rio Grande Basin
Never submit passwords through Google Forms.
This form was created inside of State.co.us Executive Branch.