Steven Bellone Frank Nardelli
Suffolk County Executive Commissioner
SUFFOLK COUNTY DEPARTMENT OF LABOR, LICENSING & CONSUMER AFFAIRS
P.O. Box 6100, Hauppauge, NY 11788-0099 (631) 853-4600 FAX (631) 853-4825
CEH Education Provider Pre-Qualification Application
Name of Organization______________________________________________________________________
Contact Name(s)___________________________________________________________________________
Address__________________________________________________________________________________
Phone#______________________________ Email __________________________________
Class(es) Location__________________________________________________________________________
Instructor(s)_______________________________________________________________________________
Submit this application, along with your continuing education instructor qualifications to:
Suffolk County Department of Labor, Licensing & Consumer Affairs
Suffolk County Electrical Licensing Board
P.O. Box 6100
Hauppauge, NY 11788
Following Licensing Board application review, the Suffolk County Department of Labor, Licensing & Consumer
Affairs will notify qualified applicants under consideration of the date and time of any scheduled interview.
The interview will include an opportunity for you to present any questions.