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  • Or 440-2570 2019

Get Or 440-2570 2019-2026

Il application with payment to: DCBS Fiscal Services P.O. Box 14610 Salem, OR 97309-0445 Important: Read the application instructions before completing this form. Please complete all steps before submitting your application and refer to the checklist at the end of this form. STEP 1 APPLICANT INFORMATION (please print) Last First Name: Address (street or P.O. Box): City: Phone: - Fax: Middle initial State: - - Social Security number (Required, ORS 25.785): ZIP: Email: Your Soc.

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How to fill out the OR 440-2570 online

Completing the OR 440-2570 form online is an essential step in obtaining your electrical license in Oregon. This guide will walk you through each section of the form, providing detailed instructions to assist you in accurately filling it out.

Follow the steps to complete your electrical license application.

  1. Press the ‘Get Form’ button to access the OR 440-2570 form and open it for editing.
  2. Fill out the applicant information section, including your last name, first name, middle initial, address, city, state, ZIP code, phone number, fax number, email address, and Social Security number. Ensure all fields are completed accurately.
  3. In the previous licenses section, list all individual or contractor electrical licenses you currently hold or have held in any state. Attach copies of any out-of-state licenses.
  4. Select your desired license type from the provided list. Review the associated fees, which are nonrefundable, and ensure you understand the requirements for the selected license.
  5. Indicate your preferred test location by referencing the available options on the enclosed list or website.
  6. Detail your employment history. Record your most recent employment first, including the employer’s name, address, period of employment, hours worked per week, position/title, supervisor's name, and a description of work performed.
  7. Provide verification of your work experience by submitting the Electrical Experience Verification form (440-2570A) from each employer. If applicable, include military documentation verifying your training and experience.
  8. Attach a 2-inch by 2-inch passport-style photo with your name written on the back. Ensure not to staple the photo.
  9. Read and certify the applicant affidavit, ensuring all information provided is correct. Print your name in the designated area, sign, and date the form.
  10. Review the checklist for completeness, ensuring all required documents are included such as proof of education, fees, and the completed application.
  11. After completing the form, save your changes and proceed to download, print, or share the form as needed.

Complete your OR 440-2570 application online today to start your journey toward obtaining your electrical license.

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