Department of Environmental Protection Tallahassee ...

Department of Environmental Protection

Operator Certification Program 2600 Blair Stone Road, MS 3506 Tallahassee, Florida 32399-2400

850-245-7500

OCP Pencil & Paper Exam Scheduling Request Form

(Please Read Thoroughly)

If you wish to be scheduled for a pencil & paper examination, please complete this form and return it to our office no later than 14 days prior to the examination date; Fax 850-245-8410 or Email operator.certification@. An appointment letter will then be mailed to you confirming the date, time and location of your exam.

This form is for applicants who have received an existing or current approval letter only. THIS IS NOT AN EXAM APPLICATION!

Please Print:

NAME: ________________________________________________________________

ADDRESS: ____________________________________________________________

CITY: _________________________________State: _____ Zip Code: _____________

TELEPHONE: ________________________________

TYPE OF EXAM: (Circle One) DW

WW

DS

LEVEL: ______

Identify your preferred exam date and location from the schedule below:

1st Choice: Date: _____________________ Location: _____________________

2nd Choice: Date: _____________________ Location: _____________________

May 2018

No Examinations will be administered during May 2018.

June 2018

No Examinations will be administered during June 2018.

July 2018

Examination scheduling will resume July 2018. Please stay tuned to the OCP website for future scheduling information.

_______________________________ Signature

______________________ Date

Revised 4/6/18 tp

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