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The Electrical Commission may conduct a background check of all applications for licensing. Persons may be asked to supply information in addition to that requested in this application before the applicant is approved to take the examination.
If you have lived at your present address for less than 10 years, please provide us with your residences for the past 10 years.
Provide the electric utility companies whose service area you have worked in, including the utility representatives name, address and telephone numbers, who are familiar with your electrical installations.
Provide the City/Municipality where you have worked, including the name, addresses, and telephone number of the City, County or State Electrical Inspector who are familiar with your electrical installations.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
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