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: ____________________________________