Form Dlse Ecf6 PDF Details

In the busy world of electricians within the State of California, the DLSE Ecf6 form plays a pivotal role, especially when it comes time for certification renewal. This comprehensive form, hosted under the auspices of the Division of Labor Standards and Enforcement, is a crucial document for those in the electrical trade seeking to keep their certifications current. Whether it's a General Electrician, Residential Electrician, Fire/Life Safety Technician, Voice Data Video Technician, or Nonresidential Lighting Technician looking to renew their certification, this form caters to all by encompassing various sections of renewal requirements. It clearly outlines the necessity for a renewal fee of $100 for timely submissions, the importance of completing 32 hours of further electrical education, and the requirement to have clocked in at least 2,000 hours of work within the industry over the previous three years. Additionally, for those whose certifications may have expired or who do not meet the initial three stipulations, it talks through the process of reexamination, accompanied by a $200 fee. Mailing instructions, contact information, and detailed guidance on how to fill out the form emphasize the state's commitment to ensuring certified electricians continue to meet the high standards required of their profession. This form, which must be printed or typed in ink and sent to the designated P.O. Box in Pasadena, CA, acts as a linchpin in the certification renewal process, reinforcing the state's dedication to maintaining a well-qualified workforce in the electrical trade.

QuestionAnswer
Form NameForm Dlse Ecf6
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDAS-ECF6, form dlse ecf6, dir, Birthdate

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

 

Renewal Application for Electrician Certification

 

 

 

 

 

 

 

 

 

 

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: ___________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Certification Examination Requested (check one or more):

 

 

 

 

 

|

 

 

| General Electrician

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| Residential Electrician

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| Fire/Life Safety Technician

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

|

 

 

 

| Voice Data Video Technician |

 

 

| Nonresidential Lighting Technician

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERAL INSTRUCTIONS

Please fill in the information above and complete a section below. Check the appropriate boxes.

A separate renewal application for each classification of certification is required. Keep a copy of this signed application will all documents for your records. ECU will respond to your application within 30 days upon receipt. Please make checks payable to DIR-Electrician Certification Fund. Payment must be included for the Certification to be renewed. Mail this completed form and payment to:

State of California

Division of Labor Standards and Enforcement – Electrician Certification Unit

PO Box 101331 Pasadena CA 91189-0005

SECTION I – ALL Timely Certification Renewals (must have first 3 boxes checked AND Proof of CE)

(1) Enclose $100.00 renewal fee. (Required for timely submissions and card will be received within 2 weeks.)

(2)Check here to verify that you have completed 32 hours of further electrical education from an educational provider relevant to the type of certification being renewed, and attach a copy of your completion hours. (If not, you do not qualify to RENEW timely and must retake the exam by marking box #4 and attach a $200.00 fee)

School Name(s):________________________________________City:______________________________________

School Name(s):________________________________________City:______________________________________

School Name(s):________________________________________City:______________________________________

(3) Check here to verify that you have worked at least 2,000 hours in the industry in previous 3 years.

(If you do not have 2,000 hours, you do not qualify to RENEW timely and must retake the exam by marking box #4 and attach a $200.00 fee)

SECTION II – Renewal of EXPIRED Certification or Retake of Exam

(4)Enclose $200.00 exam fee to retake exam due to lapsed card or due to not meeting the first 3 requirements above. Please check language choice when retaking the exam. ECU will notify you in writing of the next step.

Language Choice for RENEWAL EXAM: _______English ______Spanish

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

Signature:

 

 

 

Date:

 

 

(For Office Use) Tracking Nbr:

 

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Form DLSE-ECF6 (01/2014)