Site Rehabilitation Contractor Certification Application

The information on the application is used to determine the qualifications of the application to perform remediation activities for the Division as either a Class I contractor or a Class II contractor.

Application Form (pdf)

W-9 Form

The W-9 form provides the applicable identification information that is used to process payments for performance for the Division that includes the mailing address and taxpayer identification number.


Contractors Environment Land & Waste