Nitc Form 720 16A PDF Details

Are you familiar with the Nitc Form 720 16A? If not, you’re not alone! Many people are confused by this important form which has to do with business insurance. It is vital for any business – large or small – to understand what this form entails and how it can benefit their organization. In this blog post, we will explore exactly what the Nitc Form 720 16A means, why it is necessary for businesses, and how it can help protect both the company and its employees from potential legal issues down the road. So let's take a closer look at what this document actually contains!

QuestionAnswer
Form NameNitc Form 720 16A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmhr application form, NITC, Pipefitting, mhr paperwork

Form Preview Example

Application for

STAR Steamfitting/Pipefitting Mastery Certification Examination

I am currently enrolled in an apprenticeship program.

I will be taking this exam at the instruction site upon completion of my course of instruction.

I will be taking this exam at a PSI center. (Provide method of payment below).

I have a minimum of five (5) years of documented work experience in installing and servicing of piping systems.

I am in the fifth (5th) year of a piping training program involving the installation and servicing of piping systems.

I have read the Candidate Information Bulletin for STAR Steamfitting/Pipefitting Mastery Examination.

First Name

 

 

 

M.I.

 

Last Name

 

 

 

SS# (Last Six)

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

City

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

 

Email Address

 

 

 

 

 

Home Phone

 

Work Phone

 

Cell/Other Phone

 

 

 

 

 

 

 

 

 

 

 

Training Course Location

 

 

 

 

 

Training Course Date

 

Name of Instructor

 

 

 

 

 

 

 

 

 

 

 

Local Union # (If Applicable)

 

Initiation Date

 

 

 

 

 

 

List your present or most recent employer first. Attach any documentation you have that would prove that you have five (5) years experience in the installation of piping systems. Acceptable documentation: letters from employers, employment history, certification records, state license(s) and any other employment records. (Phone numbers are required for verification.)

Employer, City & Phone #

From

To

 

 

 

 

 

 

 

 

 

I do solemnly swear or affirm that the above statements are true. I further realize that falsification of these statements shall be cause for disqualification. By affixing my signature to this application I agree to abide by the following rules and regulations of certification holders as set forth by the NITC Certification Committee. As a holder of an NITC Certification I agree to not make any false claims about the scope of my certification(s); I agree to not utilize an NITC certification in any manner that portrays NITC unfavorably; and furthermore, I agree to not engage in false or misleading advertising of my NITC Certification. I understand that NITC reserves the right to suspend or revoke my

certification should I violate these obligations. Should my certification be revoked, I agree to cease and desist any and all references to being the “holder” of an NITC Certification and shall return any certificates, including wallet sized photo identification cards to NITC.

I agree to not utilize any written documents, reports, procedures, etc., with the NITC certification mark in any manner whatsoever that may be inaccurate or false.

I understand and agree that my examination results may be shared with the course instructor, training coordinator or training entity.

Signature of Applicant:

 

 

 

 

Date:

 

 

 

 

 

 

Method of Payment

 

 

 

 

 

 

 

 

 

(**Required Fields for credit card payments**)

 

 

*Total Amount Enclosed: $

 

Check

Money Order

Visa

Master Card

AMEX

*Credit Card No:

 

 

 

 

*Expiration Date:

 

 

 

*CVV2: Last three or four digits on back of Visa and Master Card, Amex CVV2 on front of card.

*Credit Card “Billing Address”:

 

 

*Credit Card “Billing Address” Zip Code:

 

*Name on Card:

*Signature:

 

As it appear on card (Please Print)

 

 

Signature as shown on credit card

Form # 720-16a Rev 06-18-13 (STAR Steamfitting-Pipefitting Application).doc

1

www.nationalitc.com

Information Sheet for

STAR Steamfitting/Pipefitting Certification Examination

TO QUALIFY FOR THIS EXAMINATION candidate must provide five (5) years of documented work experience installing and servicing of piping systems or provide documentation of being in the fifth (5th) year of a piping systems training program involving the installation and servicing of piping systems.

A Candidate Information Bulletin has been developed to help ensure your success. Since the information contained in each section of the Bulletin will answer many of the questions you might have, it is required reading prior to proceeding with this application. Download a copy

from www.nationalitc.com or call (877)

457-6482 to request a copy.

THE EXAMINATION FEE is One Hundred Thirty Four Dollars ($134.00). This must be prepaid. Please make check or money order payable to NITC. Visa, Master Card or American Express are also accepted. The method of payment must be attached at the time of submission; or contact NITC to provide credit card payment information by phone at (877) 457-6482. For NITC No-Show, Reschedule, Cancellation and Refund Policy refer to the Candidate Bulletin.

For re-testing, or those who cannot attend the examination with their instructor, the multiple-choice examination is available computer-based at PSI centers. To locate a PSI center near you visit http://www.nationalitc.com/NITCService.cfm?GO=NEWS&NEWSID=36.

For Individuals requesting to take an examination at a PSI center there will be an additional processing fee. These fees vary according to the length of time allowed for the examinations. Please contact our office to confirm what the processing fee will be for your examination.

Exams given at PSI centers require that an email address be provided. You will receive an e-mail confirmation with your login information to schedule the exam date and time. For any examination scheduled at a PSI center, cancellation and rescheduling must be made at least 48 hours prior to the assigned date and time or a rescheduling fee will be assessed.

All electronic devices are prohibited. No PDAs, cellular telephones, or any other types of devices that record or send data are allowed to be used during the examination.

Keep this page for your records. Return Page 1 to NITC via fax (213) 351-7632, e-mail to crystalg@nationalitc.com, or mail to the address shown below. For more information call (877) 457-6482.

Form # 720-16a Rev 06-18-13 (STAR Steamfitting-Pipefitting Application).doc

2

www.nationalitc.com

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The best way to fill in mhr form portion 1

2. The next step would be to fill out these blank fields: I understand and agree that my, Signature of Applicant, Method of Payment, Date, Required Fields for credit card, Total Amount Enclosed, Check, Money Order, Visa, Master Card, AMEX, Credit Card No, Expiration Date, CVV Credit Card Billing Address, and Last three or four digits on back.

Last three or four digits on back, Required Fields for credit card, and AMEX in mhr form

3. This 3rd section should also be relatively straightforward, A Candidate Information Bulletin, THE EXAMINATION FEE is One Hundred, and For retesting or those who cannot - every one of these fields must be filled in here.

Stage # 3 of filling out mhr form

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mhr form writing process described (step 4)

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