Application For License As A Journeyman Electrician

Collects contact details and supporting documentation needed to process the journeyman electrician licensing exam.

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Please complete the following application to register for the journeyman electrician licensing examination.

Full Name

Address

Street Address

City

State / Province

ZIP / Postal Code

Telephone:

Email

Examination Background

Have you taken this examination before?

I certify that the foregoing information is true and correct.

Date

Print Name Legibly

Upload Original Application and Supporting Documentation

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