"Application for the Wastewater Operator Treatment Certificate by Reciprocity - Grades I-Iv" - Oregon

Application for the Wastewater Operator Treatment Certificate by Reciprocity - Grades I-Iv is a legal document that was released by the Oregon Department of Environmental Quality - a government authority operating within Oregon.

Form Details:

  • Released on August 1, 2021;
  • The latest edition currently provided by the Oregon Department of Environmental Quality;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Oregon Department of Environmental Quality.

ADVERTISEMENT
ADVERTISEMENT

Download "Application for the Wastewater Operator Treatment Certificate by Reciprocity - Grades I-Iv" - Oregon

Download PDF

Fill PDF online

Rate (4.4 / 5) 18 votes
State of Oregon Department of Environmental Quality
Reciprocity Application Instructions
For Wastewater Operator Certification
Treatment Grades I-IV
(Note: do not send these instructions with your application – keep for your records)
Incomplete applications or incorrect fees will be returned for completion
Fill in all sections. If the information requested is not applicable, write N/A.
A. Applicant Information
Enter applicant’s legal name and social security number (required unless already on file with DEQ).
B. Mailing Address and Contact Information
Complete all sections. Enter your current employer name and the wastewater system name if it is
different from the employer name. Answer Y/N to the next 2 questions.
C (1). Certificate Application Type & Grade
Select the grade level you seek. (see note below regarding non-ABC exam states – one grade lower)
Qualifying Path: Select a Qualifying Path (A-D); see the Qualifications table in the Instructions.
Fee: Make checks payable to “Oregon DEQ” for the corresponding fee for that grade.
C (2). Your Certificate: fill in the state where you are currently certified.
Reciprocal certification (by RECIPROCITY) is available to applicants with a valid certificate in
good standing in another state or province. This avenue to Oregon certification is a waiver for
only the examination. The education and experience required by Oregon DEQ apply to all applicants.
See the qualifications table at the end of the Instructions, per Oregon Administrative Rule 340-049-0050:
https://www.oregon.gov/deq/wq/wqpermits/Pages/Wastewater-Operator-Certification.aspx
Complete the boxes in the lower block of section C that pertain to your current certification. Attach a
copy of your current and valid certificate from the other state which administered your exam. To receive
the same certificate type and grade, you must have passed the national standardized ABC exam. We
will contact your issuing state for verification. An additional affidavit and supervisor’s statement
(sections I and J) will be necessary to verify that you have the experience necessary for the certification
grade you have requested. For example, if you recently accepted a job in Oregon, you should include an
affidavit or similar statement from your most recent previous supervisor (from the other state) in addition
to the affidavit from your current supervisor in Oregon.
Education and Training: Education documents must be legible and include the applicant’s name,
achievement type, and award or completion date. If required, post high-school documents (CEUs or
transcripts) must be attached and listed in order or already credited and on file. Fill in the blocks for
school data.
D. High School / GED Requirement
A valid high school diploma, transcript, or GED is the base education requirement for all Oregon
certification grades, and a legible valid document or copy must be included or on file with DEQ, even if
you also have college credits.
Oregon DEQ Reciprocity Application Instructions for Wastewater Operator Certification,
Page i of iv
Treatment Grades I-IV, August 2021
State of Oregon Department of Environmental Quality
Reciprocity Application Instructions
For Wastewater Operator Certification
Treatment Grades I-IV
(Note: do not send these instructions with your application – keep for your records)
Incomplete applications or incorrect fees will be returned for completion
Fill in all sections. If the information requested is not applicable, write N/A.
A. Applicant Information
Enter applicant’s legal name and social security number (required unless already on file with DEQ).
B. Mailing Address and Contact Information
Complete all sections. Enter your current employer name and the wastewater system name if it is
different from the employer name. Answer Y/N to the next 2 questions.
C (1). Certificate Application Type & Grade
Select the grade level you seek. (see note below regarding non-ABC exam states – one grade lower)
Qualifying Path: Select a Qualifying Path (A-D); see the Qualifications table in the Instructions.
Fee: Make checks payable to “Oregon DEQ” for the corresponding fee for that grade.
C (2). Your Certificate: fill in the state where you are currently certified.
Reciprocal certification (by RECIPROCITY) is available to applicants with a valid certificate in
good standing in another state or province. This avenue to Oregon certification is a waiver for
only the examination. The education and experience required by Oregon DEQ apply to all applicants.
See the qualifications table at the end of the Instructions, per Oregon Administrative Rule 340-049-0050:
https://www.oregon.gov/deq/wq/wqpermits/Pages/Wastewater-Operator-Certification.aspx
Complete the boxes in the lower block of section C that pertain to your current certification. Attach a
copy of your current and valid certificate from the other state which administered your exam. To receive
the same certificate type and grade, you must have passed the national standardized ABC exam. We
will contact your issuing state for verification. An additional affidavit and supervisor’s statement
(sections I and J) will be necessary to verify that you have the experience necessary for the certification
grade you have requested. For example, if you recently accepted a job in Oregon, you should include an
affidavit or similar statement from your most recent previous supervisor (from the other state) in addition
to the affidavit from your current supervisor in Oregon.
Education and Training: Education documents must be legible and include the applicant’s name,
achievement type, and award or completion date. If required, post high-school documents (CEUs or
transcripts) must be attached and listed in order or already credited and on file. Fill in the blocks for
school data.
D. High School / GED Requirement
A valid high school diploma, transcript, or GED is the base education requirement for all Oregon
certification grades, and a legible valid document or copy must be included or on file with DEQ, even if
you also have college credits.
Oregon DEQ Reciprocity Application Instructions for Wastewater Operator Certification,
Page i of iv
Treatment Grades I-IV, August 2021
E. College / University, Community College, or Trade School
Awarded degrees and other accumulation of academic credits documented on transcripts and/or may be
accepted in the fields of engineering, chemistry, water/wastewater technology, physical, biological,
or applied sciences, mathematics, or operation management per OAR 340-049-0030(4). One or
more years of post-high school education equals the following: 1 year = minimum of 45 quarter hours or
30 semester hours. List the semester/quarter credits and totals. Course credits outside these
fields/majors may be reviewed on a course-by-course basis through attaching transcript(s) to the
application.
F. Continuing Education Units (CEUs)
Attach only if needed toward post-HS education. CEU awards must be legible documents that
provide the applicant’s typed name, number of wastewater CEUs, completion date, and instructor or
sponsor. The total CEU’s must be totaled in section F by the applicant. Additional sheets of page 2 may
be attached in order to list and provide a total of all CEUs. Applicants should only submit CEUs when 45
or more have been earned, and if the application is for grades II-IV. To receive credit, CEUs must be
listed in this section and the CEU certificates must be attached to the application even if they were
submitted previously to DEQ. CEU credits and academic course hours (by transcripts) can be combined
to equal one year of post-high school education. List and attach courses in chronological order.
G. Wastewater Operator Work Experience History
All sections are required; include detailed and accurate information. Use the checkboxes to
summarize your duties. The percentage blocks per each listed job must total 100%. Provide a
description statement of your wastewater operator direct and related experience. “Direct” operator
experience = percent of the work history segment related to the certificate type. “Related” operator
experience can include wastewater collections (for Treatment certificate), wastewater treatment (for
Collection certificate), drinking water distribution, treatment, or lab work (for either). Describe any
Industrial, Pre-treatment, septic system maintenance, water testing laboratory, or storm water
management experience for consideration by DEQ. Domestic wastewater treatment system experience
is direct experience for a treatment certificate; domestic wastewater collections/conveyance system
experience is direct experience for a collections certificate. See the Qualifications Table, Instructions
page iii. Direct and Related experience is summed for the total experience required. System Type,
Classification (SWWS – IV). (For OREGON work experience: see the facility Permit, or the
Find
Designated System Supervisory Wastewater Operators by Facility
PDF on our webpage for Oregon
wastewater system details). The Designated System Supervisor is the DEQ System Supervisor on
record. For other states, indicate the principal operator. Attach enough work experience pages to
demonstrate you meet the experience requirements.
H. Reference
List one reference with first-hand knowledge of your operator work history and/or duties.
I.
Affidavit of Most Recent Operator Work Experience
The supervisor or system owner / manager is to complete this block about the applicant’s employment
and the System. Complete each block accurately; Oregon permit and file numbers are required. If
additional experience documentation is needed for the grade, DEQ may require additional Affidavits from
previous work history to confirm your qualifications.
J. Supervisor’s Information, and Statement of Applicant’s Routine Tasks and Duties and
Certification of Affidavit is REQUIRED
The applicant’s supervisor, manager, public works director, city administrator, or the equivalent reviews
the experience page, writes in their initials AND submits their own basic statement describing the
applicant’s typical operator tasks and duties. This person who certifies the Affidavit by signing / dating in
Section J shall have sufficient knowledge to submit the statement of the applicant’s routine work in
Oregon DEQ Reciprocity Application Instructions for Wastewater Operator Certification,
Page ii of iv
Treatment Grades I-IV, August 2021
Section J. The official position or job description from the human resources or records office may be
attached in addition—but not as a substitution—for this statement from the supervisor in Section J.
K. Applicant Signature / Date signed (required)
********************** How To Use Qualifications Table below **********************
Paths A-D: Applicants may qualify for certification through different paths of experience and education.
Education (Ed):
• HS = valid high school diploma, transcript, GED certificate, or equivalent, documentation is required.
• Qualifying PHS Ed= Post-High School education in years: One year of post-high school education equals 45
qualifying Continuing Education Units (CEUs) or equivalent, or 45 quarter or 30 semester hours of qualifying
college or university credit. (HS + 1 = High School + 1 year of PHS Ed). Qualifying college degrees or credits
must be in the applied sciences fields (see Instructions for section E). Qualifying CEUs must be approved/
relevant to operator job tasks and required knowledge, and may be combined with qualifying college credits.
• Credits for on-the-job training may be used to meet education or experience, but not both.
Experience (Exp in years):
• Year(s) of experience in the routine performance of operator duties, tasks, and responsibilities at a domestic
wastewater collection or treatment system (may include operator intern or trainee if not also CWE). DEQ may
give partial credit for experience in a related field, as allowed by rule.
• Grade I: an approved Associate of Applied Science degree in water quality / wastewater technology may
substitute for 6 months experience; confirm in advance.
• Grades III and IV: a minimum amount of System Class operator experience is required.
• Provisional application requires all 3: current employment at a wastewater system, enrolled in DEQ-approved
training, being trained and supervised by a properly certified operator (See Instructions for more details).
System Class of the classified domestic wastewater system:
The system classification of where you earned your experience. Page 1 of the permit contains this classification, or
if no permit, the collection-only wastewater system is classified by population or number of connections. At least
half of the total experience must be no more than one grade lower than the certificate grade desired.
*NOTE: The Oregon Grade IV Wastewater Treatment certificate Path A REQUIRES a
MINIMUM of 1 year of qualifying PHS education (45 qualifying wastewater CEUs or 45 quarter
credits / 30 semester credits in related applied science courses, see above), courses must be listed
and attached in order, per the Instructions, sections E – F, or already credited and documented in
your file. For Paths B – D, list and attach your qualifying education. Application will be returned
if not complete.
TREATMENT SYSTEM Operator Qualifications
Certif-
Path A
Path B
Path C
Path D
icate
Level
HS or
Treatment
Qualifying
Treatment
Qualifying
Treatment
Qualifying
Treatment
Exp
Exp
Exp
Exp
Qualifying
System
PHS
System
PHS
System
PHS
System
(y)
(y)
(y)
(y)
PHS Ed
Class
Ed
Class
Ed
Class
Ed
Class
SWWS
HS
1
SWWS
Grade I
HS
1
I-IV
Provision-
SWWS-
HS
any
al I
IV
Grade II
HS
3
I-IV
1
2
I-IV
4y ≥ II
2y ≥ II
1.5y ≥ II
2.5y ≥ II
Grade III
HS
8
1
5
2
4
3
3
5y ≥ III
3y ≥ III
2y ≥ III
2.5y ≥ III
Grade IV
HS+1
10
2
6
3
5
4
4
Oregon DEQ Reciprocity Application Instructions for Wastewater Operator Certification,
Page iii of iv
Treatment Grades I-IV, August 2021
Application Checklist
A complete application includes:
• All sections and blocks legible and complete
• Correct fee, make checks payable to Oregon DEQ
• High school diploma / transcript or GED certificate attached unless already
on file
• Attach a copy of your current valid state treatment operator certificate
• Post-HS education documents if needed for this certification level and Path
(page 2)
• Detailed work experience (include duties, System information, (classification
or size) state permit #, file #, supervisor name / contact, etc.) on page 3-4
• Complete Affidavit, page 5, verifying your qualifying work experience
• Statement, initials, and hand signature/ date from manager on page 5
• Hand Signature / date from applicant on page 5, at bottom
• Proof-read your application for errors or omissions prior to mailing
• KEEP a COPY of this application for your records. Copy requests from DEQ
will incur a copying fee
(ELECTRONIC SIGNATURES OR INITIALS ARE NOT ALLOWED)
Incomplete forms will be returned for completion
Application fees are non-refundable.
Questions? Contact the Certification Program at
opcert@deq.state.or.us
or call
503-229-5349, 503-229-5161, or 800-452-4011, prior to submitting your
application.
Oregon DEQ Reciprocity Application Instructions for Wastewater Operator Certification,
Page iv of iv
Treatment Grades I-IV, August 2021
DEQ USE ONLY
Oregon Department of Environmental Quality
Send Application and Fee to:
Application for the
L2k Receipt #: ____________
DEQ Business Office
Application #: _____________
Wastewater Operator Treatment
Amount Received: _________
700 NE Multnomah Ave, Ste 600
Certificate by Reciprocity*
Date Received: ___________
Portland, OR 97232-4100
Check #: ________________
NOTE TO APPLICANT: Unless otherwise stated, all information is required for the application to be processed.
See Instructions for each lettered section on Instruction Pages i-iv. Processing time is about 30-40 days from receipt.
A. APPLICANT INFORMATION
Last Name:
First:
Middle:
Social Security Number* (required):
*Note: SSN required per ORS 25.785 and 305.385 unless already on record with DEQ.
B. MAILING ADDRESS AND CONTACT INFORMATION
Address:
City:
State:
Zip Code:
Work Phone:
Home Phone:
Email (required):
Current Employer Name:
Wastewater System Name (if different):
Have you ever been certified in Oregon for wastewater system operation?
Yes
No
Have you ever had a wastewater system operator certificate or license revoked or suspended?
Yes
No
C (1). CERTIFICATE APPLICATION TYPE & GRADE
(attach check or money order) FEES
1)
Grade I Treatment
$160
2)
Grade II Treatment
$190
3)
Grade III Treatment
$220
4)
Grade IV Treatment
$260
(Attach min. of 1 year post-HS documents. See Instructions for page 2.)
Request for receipt of payment (optional)
$0
Indicate your qualifying path:
Path A
B
C
D
(see Application Instructions)
C (2). Your CERTIFICATE, in state of: _________________________
*Reciprocity applicants must hold and attach the current certificate, in good standing, from another state, province, or
certifying authority. If you have NOT taken the ABC national standardized exam for your current grade level, you will
not be granted equal reciprocity in Oregon (a state-customized ABC exam is NOT equivalent to the standard ABC exam).
For certificates gained by other than ABC exam, reciprocity of a lower grade will be considered. Your other option is to
submit the Oregon certification application and take the standard ABC exam.
Certifying Authority/Agency:
Exam date:
Mailing Address:
Certificate Type & Level:
Certificate No.:
Expiration Date:
Oregon DEQ Application for the Wastewater Operator Treatment Certificate By Reciprocity, August 2021
Page 1 of 5
Page of 9