The Aws Maintenance Welder Certification form plays a critical role for individuals in the welding industry seeking to ensure their qualifications remain up-to-date and recognized. With a nominal fee of $10.00, this document serves as a pivotal step in extending a welder's certification by affirming the use of specific welding processes within given time frames. It requires the welder to provide personal information, including their Social Security number and current certification number, alongside the most recent dates they employed various welding techniques such as SMAW, GMAW, FCAW, GTAW, among others. It's crucial for applicants to understand that any omission of these dates could lead to the forfeiture of their payment without an extension of their certification. Additionally, the form mandates a verification process, strictly not by the applicant, but through an employer, test supervisor, or customer, further underscoring its authenticity and compliance requirements. For welders whose address has changed within the last six months, updating this information on the form is necessary. The document also outlines the maintenance intervals for certifications under different standards, emphasizing the need for timely submission to the American Welding Society (AWS) to avoid lapses in certification. With the convenience of duplicating the form for multiple certifications and the recommendation of mailing via US Mail for a return receipt, the AWS Maintenance Welder Certification form is designed to streamline the maintenance of vital welding certifications effectively.
| Question | Answer |
|---|---|
| Form Name | AWS Maintenance Welder Certification Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 55 |
| Avg. time to fill out | 11 min 19 sec |
| Other names | blank welding certification forms, aws form ep 4, form maintenance welder, aws maintenance of welder certification form |
MAINTENANCE OF WELDER CERTIFICATION
$10.00 fee must accompany this form |
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Last Name |
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First Name |
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MI |
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Email: |
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Social Security # |
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Certification # |
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Enter the date you most recently used the processes you would like to maintain. |
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Important: Failure to include dates below will result in payment being forfeited. |
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SMAW ____/____/____ |
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GMAW ____/____/____ |
FCAW ____/____/____ |
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GTAW ____/____/ |
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Other __________________ |
____/____/____ |
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Your certification is extended from the dates you have indicated.
Verification: I Employer / Test Supervisor / Customer certify that the above named welder used
(Circle One)
The processes on the dates indicated. Important: This form is NOT to be signed by the applicant.
Print Name: |
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Title: |
Company: |
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Phone: |
Signature: |
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Date: |
Copy this form as needed.
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If your address has changed in the last six months, please list below:
Street Address:
City: |
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State |
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Zip |
YOUR CERTIFICATION IS IMPORTANT TO YOU AND TO US!
Use these forms before your expiration date to properly maintain your certification. Certifications in accordance with Supplement C or D9.1 for the Sheet Metal Welding Code require maintenance every 12 months. Certifications in accordance with D1.1 require maintenance every 6 months. Check the requirements of the standard that governs your certification to assure that maintenance is received by AWS at the proper intervals. The cost for renewal is $10.00. All checks and money orders must be made payable to AWS and mailed to: AWS 550 NW Lejeune Rd. Miami, FL 33126.
WE RECOMMEND SENDING YOUR FORM VIA US
AWS Use Only
Site Code __________________ Date Recv’d ________________ Amt ________________ Acc’t __________________
Method of Payment
Check # |
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Visa |
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AMEX |
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Diners |
Discover |
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Credit Card # |
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Exp. Date |
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Signature |
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