To provide proof of your work experience, submit an Electrical Experience Verification form (440-2570A) from each of your employers.
Self-verification: self-verification of hours is not an acceptable means of verification.
Test: all applicants must test.
Photo: applicants must submit a 2-inch by 2-inch passport-style photo. Write your name on the back of your photo and submit it with your application.
Licenses: submit a copy of all out-of-state licenses with your application.
| Question | Answer |
|---|---|
| Form Name | Form 440-2570 |
| Form Length | 10 pages |
| Fillable? | Yes |
| Fillable fields | 166 |
| Avg. time to fill out | 28 min |
| Edition | 8/25 |
| Where to send | DCBS Fiscal Services, P.O. Box 14610, Salem, OR 97309-0445 |
| Matches the agency's file | Yes, checked October 4, 2026 |
| Other names | 440-2570, Form 440-2570, Oregon 440-2570, Electrical License Application |
| Official source | Form 440-2570 (Rev 8/25), Department of Consumer and Business Services |
Oregon Form 440 2570 isn’t the one you’re looking for?