Dir Dlse Electrician Exam Retest Form PDF Details

Navigating the process for acquiring electrician certification in California involves a detailed understanding of the documentation and procedural requirements set forth by the Division of Labor Standards and Enforcement (DLSE). Among these essential documents is the DIR DLSE Electrician Exam Retest Form, a critical tool for individuals seeking to retake the electrician certification exam. This form serves multiple purposes, including allowing applicants to apply for a retest after failing the initial exam, opting for a retest for certification renewal, or rescheduling exams that were not taken as initially planned. Applicants are required to specify their personal information, including name, contact details, and a choice of exam language — English or Spanish. Importantly, the form outlines the fees associated with the retest, clarifying the necessary payment of $100 per exam and, where applicable, an additional processing fee. It mandates a waiting period of 60 days for retesting an examination and establishes a one-year window from the notification of eligibility for taking or retaking the original examination. The form enforces the accuracy and completeness of submitted information under penalty of perjury, highlighting the seriousness of the certification process. Applicants must submit this form with the exact payment by check or money order, directing it to the DIR's Electrician Certification Fund, thereby adhering to the administrative requirements for pursuing re-certification or attempting to pass an examination after an initial unsuccessful attempt.

QuestionAnswer
Form NameDir Dlse Electrician Exam Retest Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdir gov dlse form, california dlse exam, ca exam dir online, dlse exam form

Form Preview Example

State of California

DL State _____Driver’s License # __________________

DIR – Labor Standards and Enforcement

Payment Amount $ __________

www.dir.ca.gov/dlse/ecu/ElectricalTrade.html

Date of Birth (MM/DD/YYYY) ______/______/______

Electrician Certification Program

 

Phone (510) 286-3900

 

Application for Electrician Exam Retest

 

 

 

 

 

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:

 

 

Zip: ____________-__________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Day Phone: (____)_____-_______

Email: ___________________________________________________

 

Retest Exam Language Selection (check one):

 

 

English

 

 

Spanish

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RETEST of Exam(s) Taken but Not Passed

 

 

 

 

 

 

 

 

 

 

OR RETEST of Certification RENEWAL Exam

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check Exam(s) not passed:

G

R

 

 

F

 

 

V

 

L

 

 

 

 

 

Date(s) taken:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ECP Tracking Nbr(s) (if known):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attach Exam Fee of $100 per Exam. You must wait 60 days to retest an examination.

G = General R = Residential F = Fire/Life Safety

V = Voice Data Video

L = Nonresidential Lighting

 

 

 

 

 

 

 

 

 

 

RETEST of Exam(s) Scheduled but not Taken

 

 

 

Check Exam(s) not taken:

G

 

R

 

F

 

V

 

 

L

 

 

 

 

Date(s) scheduled:

ECP Tracking Nbr(s) (if known):

Attach a Processing Fee of $75 PLUS an Exam Fee of $100 per Exam.

Any retest must be taken within 1 year from the date of notification of eligibility to take the original examination.

I certify under penalty of perjury that all statements and attachments are true and correct.

Signature:

 

Date:

Submit form with original signature and keep a copy for your records.

Incomplete or inaccurately paid forms will NOT be approved.

Exact payment by check or money order must be payable to ‘DIR – Electrician Certification Fund’.

Mail this completed form with all required attachments to:

DIR-Division of Labor Standards Enforcement

Attn: Electrician Certification Unit

PO Box 511286

Los Angeles, CA 90051-7841

(For Office Use) Approved by:

 

Date:

 

Form DLSE-ECF3 (3-2015)

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2. Once your current task is complete, take the next step – fill out all of these fields - Check Exams not passed G R F V L, Attach Exam Fee of per Exam You, G General R Residential F, RETEST of Exams Scheduled but not, Check Exams not taken G R F V L, Any retest must be taken within, I certify under penalty of perjury, Signature, Date, and Submit form with original with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

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