Get Pen01 Form

Filling out the Pen01 Form is a crucial step for individuals seeking a license as a professional engineer or land surveyor in Connecticut. This guide provides comprehensive instructions on how to successfully complete the form online, ensuring that you meet all necessary requirements.

Follow the steps to fill out the Pen01 Form accurately.

1. Press the ‘Get Form’ button to obtain the Pen01 Form and open it in your preferred online document editor.
2. Begin by providing your last name, first name, and middle name in the appropriate fields. Ensure that all names are spelled correctly as they appear on your identification.
3. Enter your residence street address, city, state, and zip code in the designated fields.
4. Fill out your place of birth, including the city and state, as well as your date of birth.
5. Provide your Social Security number and contact information, including home and work telephone numbers.
6. Indicate your desired application for license by selecting the appropriate checkbox for Professional Engineer, Land Surveyor, Engineer-in-Training, or Land Surveyor-in-Training.
7. Choose the class under which you are applying and note the corresponding application fee. Ensure that you are aware of the fees associated with each class.
8. Provide information regarding prior licenses or refusals, if any, and explain in detail if you answer 'yes' to any of the questions regarding past licensure.
9. Detail your professional experience in the section provided, listing each position held along with the name of the business, the type of work done, and the duration of your responsibilities.
10. Complete the education section by listing all schools attended, years of attendance, degrees earned, and any relevant courses completed.
11. Render necessary endorsements from individuals who can attest to your professional experience as outlined in the application.
12. Fill out the personal affidavit portion by signing the application under oath in front of a notary public.
13. Finally, ensure to attach a recent photograph, securely taped, in the designated space on the application.
14. Save your changes, then download or print a copy of the completed application for your records before submitting.

Complete your Pen01 Form online today to ensure a smooth application process!