Get State Of Connecticut Application For Certificate Of ... - Ct

Filling out the State of Connecticut Application for Certificate of Registration for Professional Engineering or Land Surveying Company online can be a straightforward process with proper guidance. This step-by-step guide will help you complete the application accurately and efficiently.

Follow the steps to correctly complete your application online.

1. Press the ‘Get Form’ button to access the application form and open it in your online editor.
2. Fill in the license type by checking the appropriate box for either Professional Engineering or Land Surveying.
3. Enter the name of your corporation or limited liability company in the designated field.
4. Provide your street address, city, state, zip code, and telephone number, ensuring that all information is accurate.
5. Input your email address and, if applicable, the mailing address, ensuring you provide a valid address for communications.
6. Indicate whether any applicants or directors have felony convictions by selecting ‘Yes’ or ‘No’. If you select ‘Yes’, attach a detailed statement as required.
7. Select the appropriate organizational structure from the options provided: Corporation, Professional Corporation (PC), or Limited Liability Company (LLC).
8. List the names and titles of all directors or officers of the corporation, or members or managers of the LLC in the designated fields.
9. Include the names, license numbers, states of licensure, and ownership interest percentages of all owners.
10. If your application is for a professional engineering corporation, specify the branches of engineering in which you plan to practice.
11. List the professional engineers or land surveyors who will be in charge, along with their residence addresses, Connecticut license numbers, basis of engagement, and signatures.
12. Read and affirm the statement by signing, dating, and providing your title.
13. Have your application notarized by a notary public and ensure that the notary's signature, date, and commission expiration are included.
14. Submit the completed application along with a check or money order for $565.00 made payable to the 'Treasurer, State of Connecticut' to the Department of Consumer Protection.

Complete your application online today to ensure timely processing and compliance.