Marcia Hultman

Cabinet Secretary

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South Dakota Plumbing Commission

Forms

The following forms are available in Adobe PDF format.

Applications

Plumbing License Application

Application for Disability Accommodation Request for Exam

Apprentice License Application

On-Site Wastewater System Installer Certification Application

Specialty License Application

Experience Verification Forms

You must provide experience verification with your application if you are applying for your license by exam. The below form(s) can be submitted if previous employers have not already provided experience verification documentation to you.

Appliance Installation Experience Verification Form

Mobile Home Experience Verification Form

Plumbing Experience Verification Form

Sewer and Water Experience Verification Form

Underground Irrigation Experience Verification

Water Conditioning Experience Verification Form

Forms

Consumer Complaint Form

Data Request Form

Duplicate/Replacement License Request form

Homeowner Plumbing Installation Certificate Request Form

Licensee Roster or Permit Information Request Form

Plumbing License Renewal Form

Specialty License Renewal Form