Request for Out-of-Cycle Examination

Submitted by JCAttamack on Fri, 03/21/2025 - 11:40

Please complete this form to request to take an out-of-cycle NC Well Contractors Certification exam. This is for a first exam attempt only.

You must have an approved certification application before requesting an exam. Level A applicants must have successfully completed a field observation if required.

Indicates required field

Last Name

First Name

Email Address

Phone

Desired Level of Certification

Electronic Signature (type your name)

Date

I will mail my payment to:
NC Well Contractors Certification Commission
1653 Mail Service Center
5605 Six Forks Road
Raleigh, NC 27699-1653

Exams are $50, and the fee for an out-of-cycle exam is $50, for a total of $100. Please send $100, or $50 if you paid your exam fee at the time of your application.

This question is for testing whether or not you are a human