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Prince Georges County

Department of Environmental Resources

LICENSES AND INSPECTIONS DIVISION


Business License Section
1801 McCormick Drive, Suite 100
Largo, Maryland 20774
(301) 883-3840 FAX: (301) 883-3875
ELECTRICAL EXAMINATION
The undersigned hereby makes application for an Electricians License as defined under
Subtitle 2, Division 14B of the Prince Georges County Code.

CHECK ONE (1) ONLY

MINIMUM YEARS OF EXPERIENCE

**FEES

Apprentice (No Exam) Registration Only $25


Journeyman Four (4) Years

$50

Master Electrician *Limited Four (4) Years $60


Master Electrician Seven (7) Years $60
*If Limited License is desired, describe work performed:
**All fees MUST be paid by Money Order or Cashiers Check payable to Prince Georges County.
(Fees are NON-REFUNDABLE)

Furnish
two (2)
identical full
front facing
photos
1" x 1 1/2"
in size

Photos MUST
be placed and
MUST fit in
these boxes
NO
EXCEPTIONS

FOR OFFICIAL USE ONLY


FOR EXAMINATION
APPROVED/DATE
REJECTED/DATE

EXAMINATION/GRADED
DATE
GRADE %

Please print clearly.

Name: / /
Last First Middle SS #

Address:
City: State: Zip Code:
Home Phone #: Work Phone #:
Date of Birth:

Length of residence in Maryland:

yrs.

mos.

(rev. 7/12)

Page 1 of 3

EDUCATIONAL BACKGROUND
NAME & LOCATION
OF SCHOOL

EDUCATION/
EXPERIENCE

YEARS
ATTENDED

DATE
GRADUATED

RELATED ELECT
SUBJECT

HIGH SCHOOL
COLLEGE
TRADE SCHOOL,
CORRESPONDENCE
SCHOOL OR
APPRENTICE
PROGRAM
No personal information will be released to persons seeking to compile a list

EMPLOYMENT BACKGROUND

Penalties are provided for misrepresentation


All applicants MUST provide proof of practical hands-on experience submitted on company letterhead with specific
dates of employment, signed by a Master Electrician (to include his license number) or qualified personnel, and attached
as part of this application. If Master is not licensed in Prince Georges County include Masters license number and
jurisdiction where licensed. If prior employment with government, attach affidavits from qualified supervisory personnel
certifying years of experience in electrical work.
All Apprentice Electricians shall include a letter from a licensed Electrical Contractor or proof of enrollment in an
Apprentice Electrician program.
Formal course of study or professional training may be substituted for up to two (2) years of work experience for a Master
Electrician and a Limited Master Electrician. Attach copies of school records, transcripts, diploma and have documents
signed by responsible authority to attest that you attended the school or were associated with a formal apprenticeship
program named in this application.
LENGTH OF
EMPLOYMENT

POSITION

NAME OF EMPLOYER

ADDRESS

Additional information can be included on a separate sheet

(rev. 7/12)

Page 2 of 3

EMPLOYMENT BACKGROUND (continued)


How many years of practical experience do you have in electrical work?
How many years have you worked as an Apprentice?
How many years have you worked as a Journeyman?
Have you ever applied for this license before?

If yes, give date:

Are you currently licensed as an Electrician in any other jurisdiction?


If yes, what type of license?

In what jurisdiction?

Have you ever had an Electrical License denied, suspended or revoked?


If yes, provide details on a separate sheet.
Are there any legal proceedings pending or instituted against you for any crime involving moral turpitude, or for a violation
of the electrical code, or any law of the County or State of Maryland related to the performance of electrical work?
If Yes, provide details on a separate sheet.

I, THE UNDERSIGNED, CERTIFY THAT I HAVE READ AND FULLY COMPREHEND THIS FORM IN ITS
ENTIRETY AND THAT THE INFORMATION HEREIN PROVIDED IS TRUE AND COMPLETE TO THE BEST OF MY
KNOWLEDGE. I UNDERSTAND THAT SHOULD ANY STATEMENT I HAVE MADE PROVE FALSE, MISLEADING OR
ERRONEOUS, IT MAY RESULT IN THE REJECTION OF MY APPLICATION. I FURTHER UNDERSTAND THAT IT
BECOMES THE PROPERTY OF PRINCE GEORGES COUNTY GOVERNMENT AND WILL NOT BE RETURNED.

Date Signature
SUBSCRIBED AND SWORN TO ME THIS DAY OF ,20

Commission Expires: Notary Public

(rev. 7/12)

Page 3 of 3

Prince Georges County

Board of Registration for Master Electricians,


Journeyman Electricians, Apprentice
Electricians, Electrical Contractors and
Electrical Subcontractors
APPLICATION REQUIREMENTS FOR
MASTER ELECTRICIAN, MASTER ELECTRICIAN LIMITED,
JOURNEYMAN ELECTRICIAN AND APPRENTICE ELECTRICIAN
Please read and fill out the entire application. Incomplete applications will be returned.

Completed application MUST be signed by applicant and notarized. Check which type of license applicant is
applying for. A Limited License must indicate work performed. Examples include: HTG & A/C, elevators, signs, gas
dispensers, x-ray, voice communications, cable TV, 50 volts, remote control, alarms and lawn sprinklers and burglar
alarms.

Please note: Fees vary and are NON-REFUNDABLE. All fees MUST be paid by Money Order or Cashiers Check
payable to Prince Georges County.

Two (2) identical full front-facing photographs, 1"x 1 1/2" in size, MUST be able to fit in the boxes and MUST be
submitted with your application.

Documentation of your experience must be submitted on official company letterhead with your application:
Master Electrician: Must show seven (7) years of experience
Master Electrician Limited: Must show four (4) years of experience
Journeyman Electrician: Must show four (4) years experience
Apprentice Electricians must submit a letter from a licensed Prince Georges County Electrical
Contractor with signature of the Master Electrician or proof of enrollment in an Apprentice Program

Proof of your hands-on practical field experience MUST be submitted on company letterhead, signed by the Master
Electrician or Master Electrician Limited with whom you worked under and MUST include their license number
and licensing jurisdiction. Letters of verification must indicate specific dates of employment and account of pertinent
experience.

If employment with Government or Military, attach affidavits from qualified supervisory personnel.

Two (2) years of your experience can be substituted with formal course study or professional training. Attach copies
of school records, transcripts, diploma, certificates, etc. (Only Master Electrician or Master Electrician Limited may
substitute this type of proof).

Upon receipt of your application it will be submitted to the Board of Registration for Master Electricians and Contractors
for their review and approval. The Boards business meetings are held on the second Thursday of every odd-numbered
month of the year. If your application is approved by the Board, notice will be sent for your attendance for the examination.
The examination is given in every even-numbered month of the year. Please be advised that exams will not be graded on
the date of your examination.

(rev. 7/12)