Forms – MDEQ

Mississippi Department of Environmental Quality

Forms

All required forms needed by water well contractors are provided in the following links:

Apply for a Water Well Contractor's License

Apply for a Pump Installer's License

Apply for a Driller’s Restricted License

Register a Drilling Rig

Report data obtained when drilling a well

Report the abandonment and decommissioning of a well

Seismic Hole Decommissioning (Plugging) Form

Affidavit Form Letter for Water Well Contractor's License

Affidavit Form Letter for Driller’s Restricted License

Related Links

Also included below are links for homeowners who may need advice on selecting a water well contractor and maintaining and protecting their water wells.

Licensed Well Contractors/Drillers/Pump Installers List

Well Contractors/Drillers/Pump Installers Regulations

Five Good Reasons to Abandon Well

Guidance on Securing Services of Water Well Contractors

Homeowner's Water Well Checklist

Links to Approved Education Providers

Forms

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