Get Work Verification Form Minnesota Department Of Labor For Plumbing

Filling out the Work Verification Form from the Minnesota Department of Labor is a crucial step for registered unlicensed individuals seeking to verify their work experience for license examination. This guide will provide you with clear instructions to help you complete this form efficiently online.

Follow the steps to successfully complete your work verification form

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Enter your registered unlicensed individual information. This includes your registration number and the last four digits of your Social Security Number (SSN).
3. Specify the registration period. This should include the start date and the end date for which you are verifying work experience.
4. Complete the employer information section. Provide the employer's name, address, contact phone number, and license or registration number. Ensure all mandatory fields are filled.
5. Indicate the responsible individual's name and license number, ensuring it matches the records of the department.
6. List the exact dates of employment during the registration period. Include complete dates with months, days, and years.
7. Confirm whether the hours being reported are derived from payroll records. If not, specify the other verification methods used.
8. For each class of work performed (such as drain, waste, and vent installation), enter the corresponding number of hours worked.
9. Calculate and enter the total number of qualifying hours worked, ensuring it does not exceed 1,750 hours.
10. Finally, ensure both the responsible person's signature and the registered individual's signature are included along with the dates signed.
11. Once completed, you can save changes, download, print, or securely submit the form as required.

Complete your Work Verification Form online today to ensure prompt processing of your license examination application.