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Get Certification Electrician State 2021-2024

ECU will respond to your application within 30 days upon receipt. Please make checks payable to DIR-Electrician Certification Fund. Payment must be included for the Certification to be renewed. Mail this completed form and payment to DIR-Division of Labor Standards and Enforcement Attn Electrician Certification Unit PO Box 511286 Los Angeles CA 90051-7841 SECTION I ALL Timely Certification Renewals must have first 3 boxes checked AND Proof of CE 1 Enclose 100. Dir. ca.gov/dlse/ecu/ElectricalTrade. html Electrician Certification Program Phone 510 286-3900 Renewal Application for Electrician Certification Please PRINT or TYPE all information in INK Last Name First Name MI Name must match U. S. Drivers License or State ID Mailing Address City State Day Phone - Zip - Email Type of Certification Examination Requested check one General Electrician Residential Electrician Voice Data Video Technician Fire/Life Safety Technician Nonresidential Lighting Technician GENERAL INSTRUCTIONS Please fill in the information above and complete a section below. Clear State of California DL State Driver s License Payment Amount Date of Birth MM/DD/YYYY // DIR Labor Standards and Enforcement www. Check the appropriate boxes. A separate renewal application for each classification of certification is required* Keep a copy of this signed application with all documents for your records. 00 renewal fee. Required for timely submissions and card will be received within 2 weeks. 2 Check here to verify that you have completed 32 hours of further electrical education from an educational provider relevant to the type of certification being renewed and attach a copy of your completion hours. If not you do not qualify to RENEW timely and must retake the exam by marking box 4 and attach a 200. 00 fee School Name s City If you do not have 2 000 hours you do not qualify to RENEW timely and must retake the exam by marking box 4 and attach a 200. 00 fee SECTION II Renewal of EXPIRED Certification or Retake of Exam 4 Enclose 200. 00 exam fee to retake exam due to lapsed card or due to not meeting the first 3 requirements above. Please check language choice when retaking the exam* ECU will notify you in writing of the next step* Language Choice for RENEWAL EXAM English Spanish I certify under penalty of perjury that all statements and attachments are true and correct. 00 renewal fee. Required for timely submissions and card will be received within 2 weeks. 2 Check here to verify that you have completed 32 hours of further electrical education from an educational provider relevant to the type of certification being renewed and attach a copy of your completion hours. If not you do not qualify to RENEW timely and must retake the exam by marking box 4 and attach a 200. If not you do not qualify to RENEW timely and must retake the exam by marking box 4 and attach a 200. 00 fee School Name s City If you do not have 2 000 hours you do not qualify to RENEW timely and must retake the exam by marking box 4 and attach a 200.

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