Form 440-2570 at a glance
What it is: Form 440-2570 is the Electrical License Application.
Where and when to file: Mail application, required documents, your photo, and payment to: DCBS Fiscal Services P.O. Box 14610 Salem, OR 97309-0445
Most applicants are required to submit verification of electrical experience (Form 440-2570A), signed by a verifier, for each place of employment.
Apprentice applicants must provide proof of completion of a recognized apprenticeship program.
What to bring and attach to Form 440-2570
Application form completed (Form 440-2570). Affidavit signed and dated (Step 8 on application). Verification of work experience (Form 440-2570A) from each employer. Additional documentation: Proof of completion of an Oregon-approved apprenticeship or training program Proof of completion of an out-of-state apprenticeship program recognized by the State of Oregon Official transcripts of classroom training. Proof of a high school diploma, GED, or equivalent. A college degree will substitute. Passport-style photo (2-inch by 2-inch) with applicant's name on the back. Payment of fee.
STEP 7 PHOTOGRAPH OF APPLICANT 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. Please do not staple the photo.
STEP 6 VERIFICATION OF WORK EXPERIENCE To provide proof of your work experience, submit an Electrical Experience Verification form (440-2570A) from each of your employers. Self-verification of hours is not an acceptable means of verification.
A filled-in Form 440-2570 example: a general journeyman license application
How to fill out Form 440-2570, box by box
Applicant information
STEP 1 APPLICANT INFORMATION (please print) Name: (Last, First, Middle Initial) Address (street or P.O. Box): City: State: ZIP: Phone: Fax: Email: Social Security number (Required, ORS 25.785): Your Social Security number is required for BCD licenses, certifications, and registrations according to ORS 25.785, ORS 305.385, 42 USC § 666(a)(13), and 42 USC § 405 (c)(2)(C)(i).
Failure to provide this information will be basis for application refusal.
Your SSN may be shared with other authorities only for tax-administration purposes and child-support enforcement (including identification).
Previous licenses
STEP 2 PREVIOUS LICENSES List all individual or contractor electrical licenses you hold or have held in any state. Submit a copy of all out-of-state licenses with your application.
License type
STEP 3 LICENSE TYPE Please select a license type from the list. The application instructions list the requirements and scope of each license.
General supervising electrician (S) $100.00, General journeyman (J) $100.00, Limited supervising electrician (PS) $100.00, Limited journeyman manufacturing plant (PJ) $100.00, Limited maintenance electrician (LME) $100.00, Limited residential electrician (LR) $100.00, Limited journeyman sign electrician (SIG) $50.00, Limited journeyman stage electrician (ST) $50.00, Limited energy technician Class A (LEA) $50.00, Limited building maintenance electrician (BME) $50.00, Limited energy technician Class B (LEB) $50.00, Limited renewable energy technician (LRT) $50.00 (checked October 22, 2026).
Fees are nonrefundable.
Test location
STEP 4 TEST LOCATION Select a test location from the list. All applicants must test.
Credit card information
Make check or money order payable to the Department of Consumer and Business Services. If paying by credit card, the applicant must sign the credit card information box. Do not send cash.
Employment history
STEP 5 EMPLOYMENT HISTORY List your experience in order, beginning with your present or most recent position. If more space is needed, attach additional sheets.
Applicant affidavit
STEP 8 APPLICANT AFFIDAVIT 1. By signing you certify that, to the best of your knowledge, the information on this application is complete and correct.
I understand that my license may be suspended, conditioned, or revoked if I have deliberately falsified my application.
I understand that, if I provide false information on this application or cheat on a licensing examination, my application will be denied and I may not apply for any license or be allowed to take any division-related examination for one year from the date of denial.
By signing you certify that you have read these statements and understand the terms of your license.
Verifier information
You must submit a separate experience verification form for each place of employment. If you are submitting more than one form, do not overlap dates of employment.
STEP 3 VERIFIER INFORMATION Applicants submitting verification of equivalent training and experience under OAR 918-030-0030(1)(c) must provide verification from the following people: A current or previous employer actively involved with the applicant's work; The person who supervised the work if the current or previous employer is no longer in business, is deceased, or otherwise cannot be located; or A co-worker who was directly involved in the work performed, only if both the employer and the supervisor cannot be located.
Co-worker verification must be accompanied by supporting documentation, such as employment records, showing that the verifier worked with the applicant and has knowledge of the work performed.
Verified experience
STEP 4 VERIFIED EXPERIENCE 1. Enter the type of license you are applying for. From license types on Page 3, choose the categories in which you have work experience and enter them under “Category.”
Under “Total hours,” enter the hours of work experience in each category. The division will consider no more than 2,000 hours of experience per year. OAR 918-030-0030(4).
Enter your specific work duty experience under “Description of duties.”
Make copies of the page, if needed.
Verifier confirmation
STEP 5 VERIFIER CONFIRMATION As the verifier of the preceding information, I confirm that it is true and correct to the best of my knowledge.
More rules for Form 440-2570
More details can be found at www.oregon.gov/bcd/licensing/Pages/exam.aspx.
Training and experience
The 300 percent rule
OAR 918-030-0030(2) “300 percent rule”: For some licenses, no more than three times the number of minimum hours (300 percent) will be allowed for a single category of work experience. Example of “300 percent rule”: If the minimum requirement is 1,000 hours of residential work, the maximum credit allowed in the residential category is 3,000 hours - three times 1,000.
Common questions about Form 440-2570
Where do I file it?
Mail application, required documents, your photo, and payment to: DCBS Fiscal Services P.O. Box 14610 Salem, OR 97309-0445
Sources
[1] Form 440-2570 (8/25/COM), Electrical License Application, Oregon Department of Consumer and Business Services, Building Codes Division (the Official source link on this page).