Get Wa F627-004-000 2020-2025

The WA F627-004-000 is a plumber's affidavit of experience form required by the Department of Labor and Industries in Washington State. This guide will provide you with step-by-step instructions on how to accurately complete the form online.

Follow the steps to successfully fill out the WA F627-004-000 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling in the fields with the necessary information. Start with the name of the owner, authorized contractor representative, or approved training director, followed by the name of the trainee.
3. Enter the name of the company or training program, along with the trainee certificate or Social Security number.
4. Indicate the time frame of work performed, entering the month, day, and year for both the start and end of the work period. Ensure that this time frame does not exceed 12 months, as per the form’s guidelines.
5. Provide the Unified Business Identifier (UBI) or license number. Next, details about the supervising plumber are required; fill in their name and certificate number.
6. List the experience categories according to the hours worked — commercial, residential, pump and irrigation, or domestic well. Input the total hours for each category where applicable.
7. To affirm the accuracy of your statements, print the name of the trainee and provide their signature along with the date of completion.
8. The signature of the owner, authorized contractor representative, or approved training director is also required; this section must be notarized.
9. Complete the notary section by stating the certification of statements, the notary's signature, and the commission expiration date.
10. Once all fields are filled, review the form for any errors or missing information. Save changes, download, print, or share the completed form as needed.

Complete your documents online today for a smoother filing process.