Get the free Well Disclosure Certificate Form

Minnesota Department of Health Well Management Section P.O. Box 64975 St. Paul, Minnesota 551640975 6512014587 or 8003839808 www.health.state.mn.us/divs/eh/wellsWell Disclosure Requirements Well Disclosure

How to fill out well disclosure certificate form

How to fill out well disclosure certificate form

1. To fill out the well disclosure certificate form, follow these steps:
2. Start by entering the name and contact information of the well owner or responsible party.
3. Provide details about the well, such as its location, depth, and type.
4. Include information about the well's construction, such as the materials used and any casing specifications.
5. Indicate the well's current status, whether it is active, abandoned, or temporarily out of service.
6. If applicable, mention any recent well or pump repairs or maintenance performed.
7. Provide additional details or comments, if necessary.
8. Sign and date the form to certify the accuracy of the information provided.
9. Submit the completed form to the appropriate authority or entity as required.

Who needs well disclosure certificate form?

1. Various individuals and entities may need a well disclosure certificate form, including:
2. - Homeowners who have a private well on their property.
3. - Real estate agents and sellers involved in property transactions where a well is present.
4. - Local government agencies responsible for monitoring and regulating well use.
5. - Environmental organizations or researchers studying groundwater resources.
6. - Insurance companies or lenders requiring well information for coverage or financing purposes.

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What is well disclosure certificate form?

The well disclosure certificate form is a document that is used to provide information about the well on a property, including its location, ownership, and any potential hazards.

Who is required to file well disclosure certificate form?

Property owners or sellers are typically required to file the well disclosure certificate form when selling a property that has a well.

How to fill out well disclosure certificate form?

The well disclosure certificate form can typically be filled out online or in person, and requires information such as the well's location, depth, water quality, and any known issues.

What is the purpose of well disclosure certificate form?

The purpose of the well disclosure certificate form is to inform potential buyers about the well on a property and any associated risks or concerns.

What information must be reported on well disclosure certificate form?

Information that must be reported on the well disclosure certificate form typically includes the well's location, depth, water quality, and any known issues or hazards.