Get D17 - Client Affidavit For Self-employed Examinees - American ... - Concrete

The D17 - Client Affidavit For Self-employed Examinees is a crucial document for applicants in the concrete industry, particularly those seeking certification as Specialty Commercial / Industrial Concrete Flatwork Finishers. This guide provides clear, step-by-step instructions on how to complete the form accurately and effectively online.

Follow the steps to fill out the D17 form correctly.

1. Click the ‘Get Form’ button to obtain the D17 form and access the editing interface.
2. Begin with Section A, where you will input your personal information. Fill in your name, the last four digits of your Social Security Number, your address (including city, state, and zip code), and your preferred contact numbers.
3. Proceed to Section B. Here, you will identify the client or owner of the construction project. Specify the construction period by entering both the starting and ending month and year. Calculate the total duration in months and provide the project location details.
4. Select the project type that applies to your experience. Choose from options such as commercial, industrial, parking lot (on grade), roadway (on grade), roadway (elevated), parking structure (elevated), or other.
5. In this section, detail any relevant project features by checking the appropriate boxes. Options include surface hardeners, high tolerance (superflat), high performance (silica fume), and finisher/mechanized tools.
6. State your employment responsibilities on the project by selecting all that apply. It is essential to include all pertinent roles that highlight your experience.
7. Sign and date the form in the designated area, confirming the accuracy of the information provided. Include your printed name.
8. Once you have completed all sections of the form, review the information for accuracy. After confirming that everything is correct, you can save your changes, download the form, print it, or share it as needed.

Complete your D17 form online today to ensure your application stands out.