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How do I fill this out?
To fill out the Electrical Work Experience Verification Form, start by entering your legal name and contact information. Next, provide details about your employment history, including dates and classes of work performed. Finally, ensure the form is signed by both you and the employer's responsible person.

How to fill out the Electrical Work Experience Verification Form?
1
Enter your legal name and contact information.
2
Provide employment details including dates and class of work.
3
Ensure employer signs the form.
4
Report actual hours worked for each class of work.
5
Submit the completed form as per instructions.
Who needs the Electrical Work Experience Verification Form?
1
Electricians applying for a Master Class A license.
2
Journeyworker electricians needing to verify work experience.
3
Maintenance electricians seeking licensure approval.
4
Unlicensed individuals looking to renew their registration.
5
Contractors verifying their employees' work for licensure.
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1
Open the file in PrintFriendly's PDF editor.
2
Click on the text fields to edit your information.
3
Add any necessary comments or notes.
4
Save your changes by downloading the updated document.
5
Review the edited form before finalizing.

What are the instructions for submitting this form?
To submit this form, email it to dli.exam@state.mn.us or fax it to 651.284.5720. You can also submit it in person at the Minnesota Department of Labor and Industry, Construction Codes and Licensing Division, 443 Lafayette Road North, St. Paul, MN 55164-0217. Ensure that all parts are completed thoroughly for a smooth submission process.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024 and 2025 licensing include application submission deadlines, renewal periods, and examination schedules. For specific dates, please refer to the Minnesota Department of Labor and Industry website. Ensure timely submission to avoid potential delays.

What is the purpose of this form?
The purpose of the Electrical Work Experience Verification Form is to provide a reliable means for individuals to document their work experience in the electrical field. It plays a crucial role in the licensing process by ensuring that applicants meet the necessary qualifications. By accurately completing this form, applicants facilitate their evaluation for licensure and ensure compliance with state requirements.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Legal Name: Full legal name of the applicant.
- 2. Employer Name: Name of the employer verifying the work experience.
- 3. License/Registration Number: Licensing or registration number if applicable.
- 4. Employment Dates: Start and end dates of the employment.
- 5. Hours Worked: Total hours worked within the reporting period.
- 6. Signature Fields: Signature areas for both the applicant and responsible person.
What happens if I fail to submit this form?
Failing to submit this form may result in delays in obtaining your electrical license or renewal. It is crucial to complete and submit the form as instructed to avoid any processing issues.
- Delayed License Approval: Failure to submit may lead to extended waiting periods for license processing.
- Ineligibility for Examination: Without proper verification, you may not qualify for the licensing exam.
- Record Keeping Issues: Incorrect submissions can lead to discrepancies in your employment history.
How do I know when to use this form?

- 1. Applying for Master Electrician License: Required to document work history for the license application.
- 2. Journeyworker License Application: Needed to verify work hours for potential licensure.
- 3. Unlicensed Registration Renewal: Must be submitted with work verification for registration renewal.
Frequently Asked Questions
What is the purpose of this form?
This form is used to verify work experience for electrical licensing.
Who needs to fill out this form?
Electricians and unlicensed individuals renewing their registrations need this form.
Can I edit the form on PrintFriendly?
Yes, you can easily edit the form using the editing tools provided.
How do I submit the form?
Follow the submission instructions outlined on the form.
Is a digital signature acceptable?
Yes, you can sign the PDF digitally within PrintFriendly.
What information do I need to provide?
You need to provide your employment details and work hours.
Can I share the form after editing it?
Absolutely, sharing is easy on PrintFriendly.
What if I make a mistake on the form?
You can edit the form to correct any mistakes before submission.
Are there any filing deadlines?
Please check the latest guidelines for any deadlines associated with licensing.
How do I download the completed form?
After editing, simply click on the download option to save your changes.
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