Nebraska's Water Well Standards and
Contractors' Licensing Program

Applications and Forms

Note: All forms open in Rich Text Format (RTF) allowing you to edit and save to your hard drive.

Application for Licensure

(Please contact the Water Well Standards Program at (402) 471-0546 to obtain available study guides for licensure.)

Application for Re-Examination for Licensure

Application for Reinstatement to Practice a Water Well Occupation

Application of Completion of Continuing Education Programs

Application for Approval of Continuing Education Programs

Closed Loop Heat Pump Notification

Nebraska Department of Health and Human Services
Division of Public Health
Water Well Standards and Contractors' Licensing Program
301Centennial Mall South
P.O. Box 95026
Lincoln, Nebraska 68509-5007
Phone:  (402) 471-0598
Fax: (402) 471-7972
E-mail: tom.christopherson@nebraska.gov

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Water Well Standards Page

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