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  4. North Carolina Well Contractors Certification

Well Contractors Certification Forms

(WCC-1a) Application for Certification, Level A

(WCC-1b) Application for Certification, Level B

(WCC-1c) Application for Certification, Level C

(WCC-1d) Application for Certification, Level D

(WCC-2) Letter of Reference for Certification Applicant

(WCC-3) Field Observation Request Form: Will be provided to the applicant once the application is approved.

(WCC-4) Temporary Certification Application

(WCC-6) Request for Examination Accommodation

(WCC-7) Retake Exam Request

(WCC-8a) Course Pre-Approval Request

(WCC-8b) Request for Continuing Education Credit

(WCC-9) Address Change

(WCC-10) Certification Inspection Report

(WCC-11) Affidavit Form - Homeowner

(WCC-12) Disciplinary Action Request Form

(WCC-15) Services Offered Change

(WCC-16) Reduce Level Request

(WCC-17) Exam Review Request

(WCC-19) Out-of-Cycle Exam Request -1st exam attempt

(WCC-22) Acknowledgement Statement (Reciprocity attachment)

(WCC-25) Certification Reinstatement

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  • North Carolina Well Contractors Certification
    • About the Commission
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      • Address Change Form
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      • Service Offering Change
    • Frequently Asked Questions
    • Get Certified
    • Meeting Schedules and Minutes
    • Pump Installation
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