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 or Certification (For appropriate fees, please refer to Examination Fee Schedule below.)
Please contact the Water Well Standards Program at (402) 471-0546 to obtain available study guides for licensure or certification.
Application for Re-Examination for Licensure or Certification
Application of Completion of Continuing Education Programs
Application for Approval of Continuing Education Programs
Closed Loop Heat Pump Notification
Licensure/Certification Fees
License/Certificate Initial Fee
January 1 - June 30***Initial Fee
July 1 - December 31 (Prorated)Natural Resource Ground Water Technician Certificate $28 $26 Pump Installation Contractor License $114 $29.25 Pump Installation Supervisor Certificate $28 $26 Water Well Monitoring Technician Certificate $28 $26 Well Drilling Contractor License $114 $29.25 Well Drilling Contractor License/Water Well Monitoring Technician Certificate $142 $36.25 Well Drilling/Pump Installation Contractor License $189 $48 Well Drilling/Pump Installation Supervisor Certificate $35 $26 Well Drilling Supervisor Certificate $28 $26 Well Drilling Supervisor Certificate/Water Well Monitoring Technician Certificate $56 $26 All fees include the $1.00 for the Licensee Assistance Program.
***Prorated fees are calculated at 25% of the full year licensure fee. The prorated fee is for initial licensure only when an initial licensure or certificate is obtained from July 1 to December 31.
Application Fee $25.00 – Plus Appropriate License/Certificate Fee
Please remit the following:
$25.00 Application Fee
$_____ Appropriate License/Certificate Fee (see chart above)
$_____ TOTAL
Nebraska Department of Health and Human Services Regulation and Licensure
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@dhhs.ne.gov
