Form 238 2 PDF Details

Form 238 2 is a document used to request an extension of time to file a tax return. This form can be used by taxpayers who need more time to gather the information they need to complete their tax returns, or by those who are unable to file on time due to extenuating circumstances. The form must be submitted prior to the original filing deadline in order to avoid penalties and interest. Extensions are typically granted for six months, but can be longer if warranted. Taxpayers should note that requesting an extension does not exempt them from paying any taxes owed.

QuestionAnswer
Form NameForm 238 2
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namesForm238 2_CompanyRenewa l idwr driller licensing forms 238 2

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Form 238-2 Instructions

01/2012

State of Idaho

Department of Water Resources

INSTRUCTIONS FOR APPLYING FOR RENEWAL OF A WELL DRILLING COMPANY LICENSE

Renewal of a Well Drilling Company License requires:

1)Form 238-2, Application for Renewal of a Well Drilling Company License. Form 238-2 is available on our web page as a fill-in PDF.

2)Appropriate fee for each licensed driller and operator

3)A new bond, form 238-4 or form 238-5, or bond continuation certificate form 238-6

4)Continuing Education Summary and supporting documentation

The Conditions and Procedures for use of Start Card Drilling Permits are included with the renewal application. Please read the procedure, sign the acknowledgement page, and return the acknowledgement page with the renewal application.

The completed documents and appropriate fee must be received by the State Office of the Department of Water Resources no later than March 15 to assure drillers and operators licensed under your company remain valid without interruption. Incomplete and late applications will be processed as time allows. Send the completed forms and fee to:

Driller Licensing

Department of Water Resources

322 East Front Street

PO Box 83720,

Boise ID 83720-0098

FORM 238-2, Application for Renewal of a Well Drilling Company License

The Application for Renewal of a Well Drilling Company License Form 238-2 must be signed by the Principal Driller named in the application. The Principal Driller is an Idaho licensed driller in responsible charge of the company’s drilling activities.

FEE

A fee of $100 per driller and $15.00 per operator identified on form 238-2 must be submitted with the application.

BONDING

All bonds must be completed and signed by the bonding agent on forms provided by the Department of Water Resources. It is the Principal Driller’s responsibility to provide the bonding company with the appropriate Department form. Surety Bond Continuation Certificate form 238-6, Surety Bond form 238-4, and Cash Bond Pledge form 238-5 are available on our web site: http://www.idwr.idaho.gov/WaterManagement/WellInformation/DrillerLicensing/dl_default.htm at.

CONTINUING EDUCATION CREDITS

Each licensed driller and operator must submit a separate CEU summary. Make as many copies of the form as necessary. The courses you are claiming for continuing education credits must be listed on the summary. The completed summary and copies of attendance certification must be submitted with the drilling company’s license renewal application.

If your license has expired you may not drill in Idaho until all requirements for renewal have been met and you have received your license card and certificate or other verification from the Department that your license is valid.

Form 238-2

Rev 01/2012

Page 1 of 5

APPLICATION FOR RENEWAL OF WELL DRILLING COMPANY LICENSE

Name of Drilling Company:

Drilling Company License Number:

Principal Driller of Company:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

First Name

 

 

 

 

 

 

Middle Name/Init

 

 

Primary Business Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing:

 

 

 

 

Physical:

 

 

 

 

 

 

 

 

City:

 

 

 

 

State:

 

 

 

Zip:

 

 

Telephone Numbers:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary:

 

Mobile:

 

 

Fax:

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Drilling Company Owner (if different from Principal Driller):

Last Name

 

 

First Name

 

 

 

 

 

 

Middle Name/Init

 

 

Mailing:

 

 

 

 

Physical:

 

 

 

 

 

 

 

 

City:

 

 

 

 

State:

 

 

 

Zip:

 

 

Telephone Numbers:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary:

 

Mobile:

 

 

Fax:

 

 

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Drilling Company’s Bond, covering the drilling activities of each licensed driller and operator, is a Surety Bond Cash Bond in the amount of ($5,000-$20,000): $

Name of Bonding Company or Banking Entity

Mailing Address of Bonding Company or Banking Entity

City

 

State

 

Zip

Phone

Form 238-2

Rev 01/2012

Page 2 of 5

WELL RIG INFORMATION

The company license application must include “a list of all drill rigs and other related equipment owned or used by the company, including the type, make, and model.

Type

Year

Make and Model

Description

Air Rotary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mud Rotary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cable Tool

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reverse Circulation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Auger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Direct Push

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sonic Vibration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Core Drill

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Jetted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 238-2

Rev 01/2012

Page 3 of 5

Licensed Drillers employed by the Drilling Company

The appropriate fee must be submitted for each of the individuals listed in this table.

Principal Driller’s Name (as listed on page 1)

Phone No.

Personal Mailing or Street Address

City

State

Zip

Licensed Driller Name

 

Phone No.

 

 

 

 

 

Personal Mailing or Street Address

City

State

Zip

 

 

 

 

Licensed Driller Name

 

Phone No.

 

 

 

 

 

Personal Mailing or Street Address

City

State

Zip

 

 

 

 

Licensed Driller Name

 

Phone No.

 

 

 

 

 

Personal Mailing or Street Address

City

State

Zip

 

 

 

 

 

Class II (CII) Operators employed by the Company

Class II Operators are required to receive adequate supervision as defined in the Idaho

 

Well Driller Licensing Rules.

The appropriate fee must be submitted for each of the individuals listed in this table.

CII Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CII Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CII Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CII Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CII Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CII Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

Form 238-2

Rev 01/2012

Page 4 of 5

Class I (CI) Operators employed by the Company

CI Operators are entry level and are required to be supervised at all times while operating equipment.

The appropriate fee must be submitted for each of the individuals listed in this table.

CI Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CI Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CI Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CI Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

CI Operator Name

Phone No.

Personal Mailing or Street Address

City

State

Zip

Use the following table if you need additional space to include all of your drillers and operators:

DL

CI

CII

Name

 

 

 

 

Phone No.

 

Personal Mailing or Street Address

 

 

 

 

 

 

City

 

 

 

 

 

State

 

Zip

 

 

DL

CI

CII

Name

 

 

 

 

Phone No.

 

Personal Mailing or Street Address

 

 

 

 

 

 

City

 

 

 

 

 

State

 

Zip

 

 

DL

CI

CII

Name

 

 

 

 

Phone No.

 

Personal Mailing or Street Address

 

 

 

 

 

 

City

 

 

 

 

 

State

 

Zip

 

 

DL

CI

CII

Name

 

 

 

 

Phone No.

 

Personal Mailing or Street Address

 

 

 

 

 

 

City

 

 

 

 

 

State

 

Zip

 

 

DL

CI

CII

Name

 

 

 

 

Phone No.

 

Personal Mailing or Street Address

 

 

 

 

 

 

City

 

 

 

 

 

State

 

Zip

 

 

Form 238-2

Rev 01/2012

Page 5 of 5

CERTIFICATION – TO BE COMPLETED BY PRINCIPAL DRILLER APPLICANT

ATTENTION: Read the following paragraphs before signing this application.

A false or dishonest answer to any question in this application may be grounds for revocation or refusal to approve the Well Drilling Company’s license. All statements made are subject to investigation.

I certify that I have read, understand, and will comply with all Idaho Statutes and Department Rules, including Start Card Procedures.

I certify that for every well drilled under this company license number, a driller’s report has been filed with the Department within 30 days of completion as required by Section 42-238, Idaho Code.

I certify that all of the statements made in this application are true and correct to the best of my knowledge.

Date

Signature of Principal Driller (as it will appear on Driller Reports)

For Department Use Only

Receipt No. ________________ Fee $__________ Date _______________ Received by _______________

Deposit to licensing fee account

Form 238-2

Rev 01/2012

CONTINUING EDUCATION SUMMARY

Summary of Continuing Education Units obtained during the two-year licensing period preceding the application for renewal.

First Name: _________________________ MI: ______ Last Name: _____________________

Idaho Well Drilling Company Name ________________________________________________

Well Drilling Company License No._________

Please list the conferences/conventions you attended and the number of continuing education units earned. The completed summary and certificates of attendance must be submitted with the drilling company’s license renewal application. In addition, it is the responsibility of the driller/operator to maintain documentation records for a period of three (3) years and have them available for review by the Department.

Date of Course

Convention

Presented by

Credit Hours Earned

CERTIFICATION

A false or dishonest entry in this summary may be grounds for revocation or refusal to renew the well driller’s license or operator’s permit. All statements are subject to investigation.

I certify that I have earned the credit hours listed above by attending the entire class time and that the information given in this summary is true and correct to the best of my knowledge and belief.

_______________________________

___________________________________

Date

Signature

How to Edit Form 238 2 Online for Free

You may work with Form 238 2 easily by using our online PDF editor. Our editor is consistently developing to deliver the very best user experience possible, and that is thanks to our commitment to continuous enhancement and listening closely to comments from users. In case you are seeking to get going, this is what it requires:

Step 1: Press the "Get Form" button above on this webpage to get into our tool.

Step 2: With this advanced PDF editing tool, you may accomplish more than simply fill in blank fields. Express yourself and make your docs look sublime with customized textual content put in, or optimize the original content to perfection - all supported by the capability to insert any photos and sign the document off.

This PDF form will need some specific details; in order to ensure accuracy, make sure you adhere to the recommendations just below:

1. It's essential to complete the Form 238 2 properly, so be mindful when working with the sections containing all of these blank fields:

Form 238 2 conclusion process detailed (step 1)

2. Given that the previous segment is done, you'll want to add the necessary specifics in Telephone Numbers, Primary, Email Address, Mobile, Fax, The Drilling Companys Bond, Cash Bond in the amount of, Surety Bond, Name of Bonding Company or Banking, Mailing Address of Bonding Company, City, Phone, State, and Zip so you're able to move on further.

Step # 2 in submitting Form 238 2

3. Completing Type, Year, Make and Model, Description, Air Rotary, Mud Rotary, Cable Tool, and Reverse Circulation is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Form 238 2 writing process outlined (step 3)

4. This section comes with the next few blanks to type in your specifics in: Auger, Direct Push, Sonic Vibration, Core Drill, and Jetted.

Form 238 2 writing process clarified (stage 4)

As to Auger and Core Drill, be certain you take another look in this section. These two are the key ones in this PDF.

5. This final notch to submit this form is crucial. You need to fill in the displayed blanks, which includes The appropriate fee must be, Principal Drillers Name as listed, Phone No, Personal Mailing or Street Address, City, State, Zip, Licensed Driller Name, Phone No, Personal Mailing or Street Address, City, State, Zip, Licensed Driller Name, and Phone No, prior to finalizing. Failing to accomplish that could give you an incomplete and potentially nonvalid document!

Form 238 2 completion process detailed (stage 5)

Step 3: Prior to moving forward, double-check that all blanks are filled out right. Once you confirm that it is correct, press “Done." Acquire your Form 238 2 as soon as you subscribe to a 7-day free trial. Instantly view the pdf form in your FormsPal account page, along with any modifications and changes being conveniently preserved! FormsPal guarantees your data privacy with a protected system that never records or shares any sort of personal data provided. You can relax knowing your paperwork are kept safe any time you work with our tools!