Form Dlse Ecf3 PDF Details

Understanding the nuances and requirements of the DLSE ECF3 form is crucial for professionals in the electrical trade looking to navigate the licensing and certification process in California effectively. This important document, issued by the State of California's Division of Labor Standards Enforcement, plays a pivotal role in the process for electricians seeking to retest for their certification exam—a step that may be necessary if one did not pass the initial test or if certification renewal is required. It outlines specific details, including the applicant's personal information, choice of retest exam language (English or Spanish), and the specific examination(s) the applicant needs to retake, whether due to failure in previous attempts or as part of a renewal. Additionally, it specifies the fees associated with retesting, the requisite waiting period between exams, and the process for submitting the form along with the necessary payment. The form also emphasizes the importance of submitting accurate and truthful information under penalty of perjury, highlighting the seriousness with which the State of California treats the certification process. Through this process, the form facilitates the efficient handling of retest applications, ensuring that electricians meet the state's rigorous standards for electrical safety and competence.

QuestionAnswer
Form NameForm Dlse Ecf3
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesECP_Retest_Appl ication application for reexamination and certification dircagov form

Form Preview Example

State of California

DL State _____Driver’s License # __________________

DIR – Labor Standards and Enforcement

ID State ______ State ID # ________________________

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

Payment Amount $ __________

Electrician Certification Program

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

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:

Division of Labor Standards Enforcement Attn: Electrician Certification Unit

PO Box 101331 Pasadena, CA 91189-0005

(For Office Use) Approved by:

 

Date:

 

Form DLSE-ECF3 (01-2014)

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