Electrical License Renewal Form PDF Details

Renewing an electrical license in Carroll County, Maryland, is a process bound by specific guidelines and procedures, as outlined in the 2013-2015 Electrical License Renewal/New Form. This form serves a critical function for master electricians, whether they operate under general, limited, inactive, or restricted categories, requiring them to provide a comprehensive array of information. Applicants must input both their Carroll County License Number and Maryland State License Number, alongside their license expiry date and the type of license they hold. The form not only seeks personal details such as full name, company name (with an indication of any changes since the last renewal or application), and contact information but also emphasizes the importance of abiding by the Carroll County Electrical Ordinance. For compliance, the licensee affirming on the form must commit to only signing permits for their business or for themselves, not both, ensuring no unlicensed individuals perform electrical work without their supervision, and ensuring all permits under their license are finalized, affirming these commitments under the penalty of perjury. The form clearly states that a violation of these stipulations may lead to the suspension or revocation of the license. The fee section differentiates based on the license type, signaling a structured cost approach to renewals. This comprehensive document underscores the responsibilities and legal obligations of licensed master electricians in Carroll County, reinforcing the regulatory framework designed to guarantee the safety and integrity of electrical services in the area.

QuestionAnswer
Form NameElectrical License Renewal Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameslicensee, 2013, revocation, Inactive

Form Preview Example

Carroll County, Maryland 2013-2015

Electrical License Renewal/New Form

PLEASE PRINT ALL INFORMATION

 

Carroll County License #

 

MD State Lic.#

 

Expires:

 

 

Type of License: (Please check the appropriate box)

 

 

 

 

 

Master Electrician: - General

Inactive:

 

 

 

 

 

 

Master Electrician - Restricted - Category _______________________

 

 

Master Electrician: - Limited

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(First)

(Middle)

 

(Last)

 

(Sr.,Jr.,III,etc)

 

Company Name*:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Street Address or P.O. Box)

 

(Town)

 

(Zip)

 

Email Address:

 

 

 

 

 

 

Company Phone #:

Company's Fax #:

Cell Phone#:

Home Phone #:

*Is this a new company name since your last Carroll County renewal or application?_____

Please Note: A licensed master electrician can only sign permits for himself/herself or company, not both, in Carroll County; the licensee can only be self-employed or be employed by 1 electrical company, not both at the same time for the purpose of securing permits, whenever the licensee has at least 1 electrical permit outstanding in Carroll County.

The following section is to be completed by the license holder.

I,, solemnly affirm under the penalties of perjury, that I will uphold the Carroll County Electrical Ordinance. I understand that I can not sign permits for more than one company or individual. I can not allow any unlicensed person (unless employed by my company and under my direct supervision) to do electrical wiring under the authority of my license. I understand that I am responsible for having all permits under my license finalized before the permit will be cleared from my license. I understand that a violation of these requirements could result in suspension or revocation of my license.

License Mechanic Signature:____________________________________

License Mechanic Printed Name:_________________________________

For Office Use Only

Master General: $70.00 Limited: $70.00 Restricted: $60.00 Inactive: 1/2 Fee

Make Checks Payable to Carroll County Commissioners

Date Rec'd ________________ Amount Paid _____________ Receipt # _______________ Initials ______