Application for Certification and Examination - Wastewater Treatment Facility Operator Certification Program
This information is provided by the Nebraska Department of Environment and Energy  
to assist the public and regulated community .

Form #:  WAT016
Applications and Forms
Revised: 9/22/20

Note: Effective Oct. 1, 2009, any individual submitting any application or form that would derive public benefit from the state must also fill out a United States Citizenship Attestation form. This applies to individuals submitting the forms on their own behalf. If applicable, please fill out the United States Citizenship Attestation form below and submit it with the relevant applications and forms.


United States Citizenship Attestation Form

This Complete Form is only available as an Adobe Acrobat (PDF) file.
File size is 97 KB