FORMS
Well Report Forms Free Word Viewer

The Water Well Report Form


The Resource Protection Well Report Form


Instructions: A licensed driller must sign the printed form before it is returned to the Dept. of Ecology.

 

Download a Free MS Word Viewer

Note! If you do not have Mocrosoft Word then download this free viewer. This free viewer will allow you to open, read and print the well report froms. This free viewer will not let you fill out the form. You must print it out to be able to fill it out.

If you have Microsoft Word, then you do not need this free viewer. Just download the Word form. You can key the information and then print and sign the form OR you can print the form and then use a pen to complete it by hand.


"Existing Water Well" Report Packet

If your well was constructed prior to 1971, a well report may not exist. If it does not, you may order an "existing well report" packet. Before requesting this packet, please exhaust all avenues to find the ORIGINAL well report. Places to check include your local county health district, this Ecology Well Log Web Site and the original well driller (if known). Please DO NOT request this packet if an original well report exists.

To request this packet contact the Well Driller Licensing Coordinator at Mary.Lynum@ecy.wa.gov.


Drilling/Decommissioning Wells Form

If you are intending to drill or decommission a well, go to the Notice of Intent Application Forms web page.