Follow the steps to complete your certification application

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, MIIN, address, date of birth, city, state, home phone, and work phone.
3. Indicate the location where you wish to take the Electrical Qualification Examination along with the corresponding date.
4. Select the type of qualification requested by marking either 'Underground' or 'Surface'.
5. Document your experience by specifying the number of months you have spent in various relevant categories, such as underground work in a coal mine, surface work areas, and other enumerated categories.
6. Certify that you have performed the electrical work as specified by signing the application and entering the date.
7. Provide details about your current employment, including your employer’s name, address, job title, dates of employment, current supervisor's name and contact information, mine name, and mine ID.
8. Attach a letter from your current employer confirming the completion of required training courses, ensuring it is on company letterhead.
9. Submit a detailed resume that thoroughly documents your months of electrical experience and tasks performed relevant to electrical work.
10. Review the entire application for completeness and accuracy before submitting. Once completed, you can save changes, download, print, or share the form.

Complete your DOL Certification Of Electrical Experience online today to ensure a smooth application process.