COLORADO VERIFICATION OF ENGINEER INTERN/PROFESSIONAL ENGINEER LICENSURE Applicant: Complete Part 1 and forward this form to the State Board verifying your records. Include a stamped envelope addressed to Colorado Division of Professions and Occupations, Office of Licensing—Professional Engineers, 1560 Broadway, Suite 1350, Denver, CO 80202. Check with the State Board to determine if it charges a fee for processing these requests. Contact information for state boards is available at www.ncees.org. Note: It is permissible for the Colorado Board to receive the verification before receiving your application and fee.
Part 1—To be completed by the APPLICANT Name: Last
First
Middle
Suffix
My name should appear in your records as: Social Security Number: Mailing Address:
Date of Birth: PO Box, Street: City, State, Zip:
Professional Engineer License Number:
Date Issued:
Engineer Intern Certificate Number:
Date Issued:
Exam Discipline:
License verification fee enclosed in the amount of: $ Applicant Signature:
Date:
Verifying State Board: Complete Part 2 and send the completed form directly to Colorado Division of Professions and Occupations, Office of Licensing—Professional Engineers, 1560 Broadway, Suite 1350, Denver, CO 80202.
PART 2—To be completed by the VERIFYING STATE BOARD From (Verifying State Board Name): State Board Address:
Date:
PO Box, Street: City, State, Zip:
A. This Individual was licensed as: License Type
License Number
Issue Date
Valid Until
Engineer Intern Professional Engineer B. Basis of Licensure: Hours 1.
Score
NCEES
Other
Exam Date
Written Examination FE PE PE Exam Discipline:
2.
Do you accept the minimum passing score as recommended by NCEES?
3.
EI Accepted From:
4.
Licensed by Education and Experience:
5.
Other (Explain):
YES
NO
YES
NO
PE Accepted From: Years of Education:
Years of Experience:
C. Disciplinary Action: Has disciplinary action ever been taken against this applicant? If YES, give details of board action:
5. Other (Explain):. C. Disciplinary Action: Has disciplinary action ever been taken against this applicant? YES NO. If YES, give details of board action: Verified By: Title: Date: STATE BOARD SEAL. Page 1 of 1. EI and PE - Verification of Licensure Form.pdf. EI and PE - Verification of Licensure Form.pdf. Open. Extract.
Try one of the apps below to open or edit this item. ARC - Verification of Licensure and or Exam History.pdf. ARC - Verification of Licensure and or Exam History.
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. LSI and PLS ...
LSI and PLS - Verification of Licensure Form.pdf. LSI and PLS - Verification of Licensure Form.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying LSI ...
List your Title, Company Name and. a DETAILED description ... Include specific design/engineering tasks and. type of calculations ... application. 1. Technician ...
Occupations, Office of LicensingâBarber/Cosmetology, 1560 Broadway, Suite 1350, Denver, CO 80202. PART 2âTo be completed by the VERIFYING STATE BOARD or FOREIGN COUNTRY. From (Verifying State Board Name): Date: State Board Address: PO Box, Street
May 7, 2017 - (5) Nothing in this chapter shall be construed as permitting any person ...... application and payment of reinstatement, renewal and late renewal ...
Jun 11, 2018 - BPOA worked in coordination with Saint Francis University's Knee Center for the Study of ... associated with state licensure, such as interstate compacts, reciprocity, ..... Tennessee ...... North East Region Average: 3 years or.
Page 2 of 2. Schablonen Ei-Ofenhandschuhe.pdf. Schablonen Ei-Ofenhandschuhe.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Schablonen ...
May 3, 2007 - Bi-CMOS Linear Imager Sensor With AufoFocusing Functionâ,. IEEE Trans. Elec. ..... architecture, the loW-noise APS can provide temporal read.
Mark Ault, Assistant Superintendent. Jim Nichols, Primary School Principal. Anne Kuhn, High School. Kim Given, Middle School. Mark Richardson, Elementary ...
course of the corporation's business activities of a non-property management nature. Q When will I be required to be licensed as a community. association ...
Oct 29, 2015 - school focal person in the provision/access to quality instructional, learning and professional development materials in digital and non-digital format. 4. Terms of reference of ... (Signature over Printed Name of School Head).
Disclosure of Addresses: Consistent with Colorado law, all addresses and phone numbers on record with the. Division of Professions and Occupations (DPO) ...
TO WHOM IT MAY CONCERN: The applicant/participant is applying for housing assistance subsidized through the Department of. Housing and Urban Development. Federal regulations require that all income, expenses,. preferences and other information relate
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Verification of ...Missing:
be created by users or services running on top of hosts in the network. The services in our model can also transform a request into another one or more requests ...
1940 Ralston Avenue (corner of Villa & Ralston). Direct (650) 590-4525 (650) 592-7111. San Mateo. Agency Insurance. 25 W. 25th Ave. Patio #8. 572-8944. Page 2 of 2. Verification of Residence.pdf. Verification of Residence.pdf. Open. Extract. Open wit
include the business demand process, such as âTransport operation planning supportâ; they are. called strategic functionalities. This made it possible to identify and desc. related decomposed functionalities in relation to FDMS (Freight Distribut