Ind. Admin. Code tit. 312, r. 13-2-1 – Application form

Sec. 1. (a) An initial application for a license as a water well driller or water well pump installer must be completed on a departmental form and must include the following:

(1) The:
1. (A) name;
2. (B) current address;
3. (C) telephone number; and
4. (D) birth date;
of the applicant.
(2) The:
1. (A) type of drilling or pump installation equipment the applicant uses; and
2. (B) number of years the applicant has operated that type of equipment.
(3) The applicable employment experience of the applicant.
(4) The signature of the applicant attesting to or affirming the accuracy of the information on the application.
(5) The license fee established under section 2 of this rule.
(6) Statements by references under IC 25-39-3-3(a)(2).

(b) Subsequent applications must provide what is required in subsection (a)(1), (a)(4), and (a)(5).

(Natural Resources Commission; 312 IAC 13-2-1; filed Nov 22, 1999, 3:34 p.m.: 23 IR 765; readopted filed Aug 4, 2005, 6:00 p.m.: 28 IR 3661; readopted filed May 20, 2011, 3:28 p.m.: 20110615-IR-312110002RFA; filed Dec 20, 2011, 1:55 p.m.: 20120118-IR- 312110332FRA; readopted filed Jul 19, 2017, 3:45 p.m.: 20170816-IR-312170132RFA; readopted filed May 17, 2023, 10:52 a.m.: 20230614-IR-312230069RFA)