APPLICATION REQUIREMENTS FOR EXAM APPLICANTS
C
ompleted application MUST be signed by applicant and notarized. Check which type of licens
e
applic
ant is applying for. A Limited license must indicate work performed. Examples include: Low
Voltage, HVAC (Heating and Air Conditioning), Signs, Elevators, Gasoline Pumps and Home
A
utomation
All fees MUST be payable to: HARFORD COUNTY, MD
Documentation of your experience must be submitted on the application form provided wit
h
applic
ation and/or on company letterhead along with your application. MUST be signed by t
he
M
aster Electrician whom you have worked under and MUST include their license number. Letters
of verification must indicate specific dates of employment.
Upon receipt of your application, it will be submitted to the Harford County Electrical Board for their review
and approval. The Electrical Board meetings are scheduled the 1
st
Wednesday of each month. If your
application is approved by the Board, a notice will be sent for your attendance for the examination scheduled
date. The exams are given three (3) times a year, January, May and September. Dates are selected by the
Board at the beginning of each year. Please be advised that exams will not be graded on the date of your
examination. Exams are graded at the scheduled Board meetings.
Rev 3/2017
Harford County Government
Permit Center
220 South Main Street
Bel Air, Maryland 21014
410-638-3344
ELECTRICAL EXAMINATION
The undersigned hereby makes application for an Electrician examination in accordance to
Harford County Code §105-25-Examination
SELECT EXAM FEE
MASTER REQUIRES 7 YEARS EXPERIENCE $30
JOURNEYPERSON REQUIRES 4 YEARS EXPERIENCE $30
LIMITED (SELECT ONE) REQUIRES 3 YEARS EXPERIENCE $30
LOW VOLTAGE
□ HVAC (HEATING AND AIR CONDITIONING)
SIGNS
□ ELEVATORS
GASOLINE PUMPS
HOME AUTOMATION
LIMITED JOURNEYPERSON (SELECT ONE) REQUIRES 1 YEAR EXPERIENCE
$30
LOW VOLTAGE
□ HVAC (HEATING AND AIR CONDITIONING)
SIGNS
□ ELEVATORS
GASOLINE PUMPS
HOME AUTOMATION
RESTRICTED (Industrial Plant-Maintenance) REQUIRES 3 YEARS EXPERIENCE $30
NOTE - THE FOLLOWING MUST BE ANSWERED IN THE HANDWRITING OF THE APPLICANT. ACCURATE ANSWERS TO THE FOLLOWING
QUESTIONS ARE NECESSARY TO COMPLETE THIS APPLICATION. PLEASE PRINT CLEARLY.
Name:
Last First Middle
Address:
City: State: Zip Code:
Home Number: Cell Number: Date of Birth:
Have you previously filed for a Harford County electrician’s exam? Yes □ No
If so, how many times have you taken the exam? __________
Name and describe courses that you have taken that would apply to your practical experience.
__________________________________________________________________________________________
Applicant’s Signature:________________________________________________Date:____________________________________
SUBSCRIBED AND SWORN TO ME THIS_______________DAY OF ____________________, 20___________
Commission Expires: ___________________ Notary Public: ____________________________________
CLEAR FORM
LIST YOUR EMPLOYMENT HISTORY IN THE ELECTRICAL INDUSTRY, BEGINNING WITH THE MOST RECENT EMPLOYER.
EACH EMPLOYER MUST BE DOCUMENTED SEPARATELY. THIS FORM CAN BE COPIED.
I, ______________________________________ Representing __________________________
Company, verify by my signature that _____________________________________________ worked under my
supervision as an employee of the above company in the time period specified below.
HOURS WORKED MONTHS WORKED YEARS WORKED
SIGNATURE OF LICENSEE: MASTER LICENSE NUMBER:
I, ______________________________________ Representing __________________________
Company, verify by my signature that _____________________________________________ worked under my
supervision as an employee of the above company in the time period specified below.
HOURS WORKED MONTHS WORKED YEARS WORKED
SIGNATURE OF LICENSEE: MASTER LICENSE NUMBER:
R
ev 3/2017