Form Tdlr 034 Acr PDF Details

The TDLR 034 ACR form serves as a crucial document for individuals seeking to obtain a Texas Air Conditioning Contractors License, facilitating the validation of practical experience in air conditioning and refrigeration. Managed by the Texas Department of Licensing and Regulation, this form is an attachment that complements the license application process. It is specifically designed for completion by a third party who is in a qualified position to accurately verify the applicant's hands-on experience within the field. Notably, the applicant is prohibited from filling out this form themselves, underscoring the importance of an impartial verification process. The form requires detailed information about the applicant's employment history, including the nature of their role (employee or subcontractor), employment duration, and a comprehensive description of their job duties to ensure they align with the practical experience criteria set forth by the licensing department. Furthermore, it solicits verification from a licensed Air Conditioning and Refrigeration Contractor, if applicable, to affirm the legitimacy of the claimed experience. This process not only substantiates the applicant's qualifications but also maintains the integrity and standards of the licensing procedure, ensuring that each licensed contractor possesses the requisite hands-on experience in air conditioning and refrigeration work.

QuestionAnswer
Form NameForm Tdlr 034 Acr
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestexas hvac contractor license books, tdlr hvac license study clases, texas hvac contractor license, texas experience verification license

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TEXAS DEPARTMENT OF LICENSING AND REGULATION

PO Box 12157 · Austin, Texas 78711 · (800) 803-9202 · (512) 463-6599 · FAX (512) 475-2871

www.license.state.tx.us · cs.air.conditioning@license.state.tx.us

TEXAS AIR CONDITIONING CONTRACTORS LICENSE APPLICATION ATTACHMENT:

EXPERIENCE VERIFICATION FORM

This form should be completed by a person qualified to verify air conditioning and refrigeration experience for the applicant. This form SHOULD NOT be completed by the applicant.

NAME OF APPLICANT:

 

 

 

 

 

 

SOCIAL SECURITY NUMBER:

 

 

NAME OF BUSINESS WHERE EXPERIENCE WAS ACQUIRED:

 

 

 

 

 

 

 

 

 

NAME OF PERSON VERIFYING EXPERIENCE:

 

 

 

 

 

 

 

TELEPHONE: (

)

 

 

 

 

 

 

 

 

 

 

[ ] YES [ ] NO Are you a licensed Air Conditioning and Refrigeration Contractor?

 

 

 

 

 

If so, what is your license number ?

 

 

 

 

 

 

 

 

 

 

 

WAS APPLICANT: [ ] AN EMPLOYEE

[ ] A SUBCONTRACTOR

 

 

 

 

 

 

 

 

 

WHAT WAS OR IS YOUR RELATIONSHIP TO THE APPLICANT?

 

 

 

 

 

 

 

 

 

[ ] Employer

[ ] Supervisor

[ ]

Co-worker

 

[ ] Other

 

FIRST DATE OF APPLICANT’S EMPLOYMENT:

 

 

 

 

 

 

 

 

 

 

 

 

LAST DATE OF APPLICANT’S EMPLOYMENT:

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT OR SUBCONTRACTOR STATUS:

[ ] FULL TIME

[ ] PART TIME

 

 

 

 

 

______ # OF HOURS WORKED EACH WEEK

 

DESCRIBE IN SPECIFIC DETAIL THE AIR CONDITIONING AND REFRIGERATION JOB DUTIES PERFORMED BY THE APPLICANT. THE JOB DESCRIPTION MUST SPECIFY PRACTICAL EXPERIENCE WITH THE TOOLS OF THE TRADE.

__________

___________________________________________________________________________________________________

BY SIGNING THIS FORM, I CERTIFY THAT THE INFORMATION ON THIS FORM IS TRUE AND CORRECT.

Signature

 

Date

TDLR 034 ACR 12/10

THIS FORM MAY BE DUPLICATED AS NECESSARY

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