Request to Retake the Well Contractors Certification Exam

Submitted by JCAttamack on Fri, 03/21/2025 - 12:05

Please complete this form to request to retake the NC Well Contractors Certification Exam. Check upcoming exam dates.

We must receive your completed form and payment at least 10 business days before the exam. Your exam date must be at least 30 days after approval of your certification application.

A new application is required if you do not pass the exam within three consecutive attempts or within one year of submitting your application, whichever comes first.

Indicates required field

Last Name

First Name

Email Address

Phone

Desired Level of Certification

Desired Exam

Scheduled Exam - $50

Out-of-Cycle Exam - $100 (Staff will contact you to arrange date)

Desired Date

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

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