Follow the steps to fill out the application online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Review the exam options and select the appropriate class (A, B, or C) you are applying for by checking the corresponding box.
3. Indicate your preferred test location by selecting either Los Angeles area or Sacramento area, and provide the specialty if applying for Class C.
4. Fill in your name in the designated fields: last name, first name, and middle initial.
5. Enter your mailing address including the number, street, city, county, state, and ZIP code. If this is a change of address, check the box.
6. Provide your contact information including your telephone number and email address.
7. If applicable, indicate whether you have any disabilities or special needs that may require accommodations during the examination.
8. List any current valid licenses, certificates, and memberships in professional associations, attaching copies as needed.
9. If previously employed by OSHPD, select 'Yes' and provide the date of separation; otherwise select 'No'.
10. Detail your construction or inspection-related education, including the name and location of the school or organization, course of study, hours, and date completed.
11. Begin listing your experience, starting with the most recent position. Include a description of the inspection duties performed, type(s) of construction, and the name, address, and phone number of your employer or client.
12. Indicate the length of the project assignment, total project cost, facility name, building name, and hours worked per week.
13. Continue detailing additional experience following the same format as previous steps.
14. Complete the certification of applicant section by signing and dating the application.
15. Review the fee schedule, marking the applicable fees submitted and calculating the total amount enclosed.
16. Select your method of payment, fill in your payment information, and provide the billing address.
17. Once all sections are completed, save the changes, and download the form for printing or sharing.

Start filling out the CA Hospital Inspector Certification Application online today to ensure timely submission and certification.