Follow the steps to successfully complete the experience verification form.

1. Press the ‘Get Form’ button to acquire the form and open it in the designated editor.
2. Begin by filling out the top portion of the affidavit with your personal details. Ensure that you include your full name, date, address (including city, state, and zip code), and Social Security number. Clearly state the classification(s) you are applying for.
3. In the experience section, circle the classification relevant to your work experience. Check the boxes corresponding to your work experience and include the total hours worked in each category.
4. Document your employment history by specifying whether your work was part-time or full-time. Indicate your hours worked per week and the dates of employment using the correct format.
5. Identify the company where the work was performed by providing its name and current license number if applicable. If you worked for a company that does not require a license, attach proof of its active status.
6. The individual certifying your work experience needs to provide their details including their name, position, signature, and license information. Make sure all attachments are signed as required.
7. Finalize by ensuring the certification statement is signed and dated. The form must also be notarized before submission for processing.
8. Once you have completed the form, you can save your changes, download a copy, print it out, or share as needed. Be sure to deliver the original form to the specified address.

Complete your PSI Mechanical/Plumbing Experience Verification online to begin your licensing process.