Instructions
- Read all instructions and dates carefully
- This is your application for a license not a registration form for examination, The registration form for the exam will be mailed after your application has been approved by the board.
- Applications must be completed in blue or black ink and only original copies will be accepted. Anything incomplete, illegible or containing whiteout will be returned and will delay the application process.*
Section 1: Application Type and Fees
Master
- If Reciprocal check off from which state and be sure to include a certified letter from reciprocating state (New Hampshire or Maine ONLY), Photocopy of license is NOT acceptable form of proof.
- If applying after holding a Vermont Electrical Journeyman license for 2 years, submit completed application with a copy of your qualifying Vermont Electrical Journeyman license.
- If neither of the above applies you must show proof of 16,000hrs of experience through signed affidavits from your previous employers.
- $150.00 3 year license fee.
Journeyman
- If Reciprocal check off from which state and be sure to include a certified letter from reciprocating state (New Hampshire or Maine ONLY), Photocopy of license is NOT acceptable form of proof.
- If you have completed the Vermont Apprenticeship Program (within the past 2 years) please include a copy of your completion certificate – affidavits not required for this submission.
- If neither of the above applies you must show proof of 12,000hrs of experience through signed affidavits from your previous employers.
- $115.00 3 year license fee.
Specialist
- Submit proof of completion of recognized training program PLUS one year (2,000hrs) experience through signed affidavits for each specialty applying for.
- If no formal training program had been completed submit proof of 2 years (4,000hrs) experience through signed affidavits for each specialty applying for.
- $115.00 (per field) 3 year license fee.
Section 2: Applicant Information
- Legal Name – As it appears on your Driver’s license or other legal form of identification. no nicknames or abbreviations.
- Date of Birth: Please use format - MM/DD/YY
- Social Security Number: required on all applications.
- Mailing Address: Please specify address where you can receive year round mail to include licenses, renewal notices, and additional notices from the Division of Fire Safety.
Please Note: It is the responsibility of the applicant/licensee to notify the Division of fire Safety if there is a change in address.
Section 3: Employment Information, &
Section 4: References to qualifications, &
Section 5: Education Information, &
Section 6: Experience Information
- Please complete all information requested in its entirety.
Section7: Affidavit of Applicant
- All applications MUST be signed AND notarized in order to be accepted. Notary seal only required for oaths taken outside of Vermont. You may also bring your unsigned application, and photo Identification to the Division of Fire Safety’s Central Office to have it notarized.
Section 8: Division Contact Information
- Please call or e-mail with any questions you have.
- Remember if the application is not correct or complete it will be returned for completion and delay the process.
- All applications are required to be postmarked or dropped off at the Division of Fire Safety’s Central Office TWO WEEKS PRIOR to the board meeting date otherwise it will be put on a future agenda.
Section 9: Compliance Questions
- All four questions must be answered and must be signed and dated at the bottom. These questions relate to State of Vermont obligations ONLY.
Section 10: Employer Affidavit of Experience
- Applicant must complete name and address information at the top then this page can be reproduced and mailed/e-mailed/faxed to employers for their completion. HOWEVER, once completed by employer the completed signed ORIGINAL must be mailed back to applicant so it can be included with remainder of application for submission to the Division of Fire Safety.