Homepage Blank Georgia Pe Comity Application Form
Outline

The Georgia Professional Engineer Comity Application form is an essential document for engineers seeking licensure in Georgia through comity. This form facilitates the process for applicants who already hold a Professional Engineer (PE) license from another state. It includes sections that gather personal information, such as the applicant's name, address, and contact details. Additionally, it requires information about previous licenses and any disciplinary actions. Applicants must also indicate their engineering discipline and provide details about their education and work experience. A notable aspect of the application is the endorsement requirement, where references from current Professional Engineers are needed to validate the applicant's experience. Furthermore, the form emphasizes the importance of accuracy and completeness, as all submitted information is used for licensing decisions. The application fee is $70 and is non-refundable, underscoring the seriousness of the process. Applicants must ensure that they comply with all requirements and provide necessary documentation to support their application.

Sample - Georgia Pe Comity Application Form

GEORGIA STATE BOARD OF PROFESSIONAL ENGINEERS & LAND SURVEYORS

237Coliseum Drive • Macon, Georgia 31217 • (478) 207-2440 www.sos.ga.gov/plb/pels/

APPLICATION FOR CERTIFICATE AS A PROFESSIONAL ENGINEER

Application Fee $70 (non-refundable)

License Type: PROFESSIONAL ENGINEER

Additional License Types (currently or previously issued by the Georgia Professional Licensing Boards): ___________________________________

Method Obtained by: Applicant is applying for above referenced license by: Comity Original PE license from the State of _______________

Name as desired on License (First, Middle, Last, Suffix): ________________________________

Name as shown on exam records or transcripts (First, Middle, Last, Suffix):

(if different) _____________________________________

Social Security Number: ____ -____-_______ Date of Birth: ___/___/_____

Physical Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

P.O. Box not acceptable for Physical Address

Mailing Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

(if different)

Telephone Day: (____) ____- _____ Telephone Evening: (____) ____-_____

E-Mail Address: __________________________

Affiliation:

Name of firm: __________________________________________

Physical Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

P.O. Box not acceptable

Mailing Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

(if different)

NOTE TO APPLICANT: This information will be entered into the Division database for Accounting and Licensing purposes. All items must be completed, and then duplicated on the next page of the application for Board review.

APPLICATION FOR REGISTRATION AS A PROFESSIONAL ENGINEER BY COMITY

Note: NCEES Record Holders are required to completely fill out sections 1 through 5. NCEES Record Holders are not required to submit endorsements, verification of licensure/exams or transcripts as those items are part of the NCEES Record.

Section 1: General Information

Date: ____________________

 

 

Name (First, Middle, Last, Suffix): ___________________________________________________________

 

Home Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

 

Preferred address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

 

Social Security Number: ____-___-_____ Birthplace: ________________ Date of Birth: ___/___/_____

 

Business Phone: (_____)_____ - ______________ Home Phone

(_____) _____ - ________________

 

 

 

 

Have you ever been convicted or pled nolo contender, pled guilty, or been given first offender status for

 

 

any offense status for any offense which is a felony, misdemeanor, a crime violating a federal law

Yes

No

involving controlled substance or dangerous drug, or a DUI or DWI? If yes, provide documentation.

 

 

Have you ever had a licensed that was revoked, suspended, restricted, probated, or surrendered to any

 

 

licensing board or agency? If yes, provide documentation.

 

Yes

No

Have you ever been found liable in civil court of any misconduct, fraud, or negligence in the practice of

 

 

engineering or land surveying? If yes, provide documentation.

 

Yes

No

Has any professional license granted to you been revoked, suspended or otherwise sanctioned publicly

 

 

or privately, or have you ever been denied license, by any board or agency in Georgia or any other

Yes

No

state? If yes, provide documentation.

 

 

 

Do you hold a current NCEES Record that you plan to submit? If yes, contact NCEES for record to be

 

 

sent electronically to the GA Board and complete all of sections 1 through 5 of this application.

Yes

No

Are you currently registered as a Professional Engineer in the state where you live?

 

 

If no, why not? _________________________________________________

Yes

No

 

 

 

 

Has your name changed since birth?

 

 

 

If yes, why? ____________________________________________________

Yes

No

 

 

 

 

Have you ever applied to this Board for registration before?

 

 

 

If yes list when and what type of application _________________________________________

Yes

No

 

 

 

 

Which one branch of engineering do you propose to practice in the state of Georgia? _________________

Designate the special branches of engineering in which you have been examined: ___________________

Present Employer __________________________________________ Position: ___________________

Note: It is the Board’s policy for Comity applicants who practice or propose to practice Structural Engineering and have taken the PE exam in a discipline other than Structural, to have a minimum of 60 months of Structural engineering experience after successful examination acceptable to the Board at the time of application.

Revised 07-12

Section 2: Registration

PE COMITY

EIT-State ____________ Certificate No ____________

Date of Certification as EIT: ___/___/_______

Number of hours written exam (“0” if no written examination taken): ______

PE-State _____________ Certificate No ____________

Date of first registration as a PE ____/____/________

If registered by written exam, indicate number of hours for the exam (“0” if no exam taken): ____

Indicate exam options taken: _______________________

List all states in which you are currently registered as a PE: _______,_______,_______,_______,_______

List other states and types of registration for which you have applied or are currently applying but do not have final notification of registration: _______,_______,_______,_______

NOTE: If you hold an NCEES Council Record and plan to submit it in lieu of endorsements, verification of licensure/exam and transcripts, then you should completely fill out Sections 1 through 5 of this application and contact NCEES to have them electronically transmit your NCEES record to the Georgia Board for consideration. For further information regarding an NCEES Council Record, please contact NCEES at www.ncees.org or 1-800- 250-1396.

NOTE: If you do not hold an NCEES Council Record, you will need to bundle and send with your application:

Official transcripts for each college attended, whether you graduated or not

Evaluation of foreign degree (if you earned your bachelor’s degree outside the US) from an approved provider. If you choose not to have an evaluation, you will need to send a letter indicating so.

Verification of original exam/licensure of both the EIT and PE, and if different, verification of licensure from the state where you live now. If you are not licensed in your residence state, indicate in Section 1.

Endorsements for all experience you list in Section 3. You must have at least five endorsements/references from five (5) individuals, three (3) of which must be currently active PE’s, that are not related to you by

blood or marriage, are not Board members and who have personal knowledge of your engineering experience, reputation and accomplishments.

All of the above supporting documentation must be sent to the Board in sealed envelopes, with the back flap signed to ensure no tampering. Some states/agencies/individuals prefer to send their documentation directly to the Board, which is permissible. This information will be maintained at the Board office and added to the application file upon receipt.

NOTE: Be sure to sign your application and have your signature notarized (Section 5.)

 

Board Use Only Section:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School______________________________________

Degree/Date____________________________Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Masters_____________________________________

Degree/Date____________________________Abet Yes_________ No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Technology__________________________________

Degree/Date____________________________ Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other_______________________________________

Degree/Date____________________________ Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EIT/Date Obtained___________ _________ PE/Date Obtained____________________Discipline__________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 3: Engineering Experience

 

 

 

 

 

 

 

 

 

 

 

PE COMITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Engmt

 

 

 

 

Part

From

To

Total

 

%

 

 

Qex

 

%

 

 

Qex

 

%

 

 

Qex

 

 

%

 

 

Qex

 

%

 

 

Qex

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#

Company Name

Your Title

 

Time?

mm/yy

mm/yy

Months

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL NUMBER OF ENDORSEMENTS FORMS: _______

 

 

 

 

 

 

 

 

 

 

Education Total

 

 

 

 

 

 

NCEES Record Requested in lieu of endorsements Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Field:

 

 

 

 

Experience Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References: Positive

(

)

 

 

Total Months

 

 

 

 

 

 

Negative

(

)

 

 

 

 

 

 

 

 

 

Special:

 

 

 

 

Board Member’s Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shaded areas are for Board use only

 

 

 

 

 

 

 

Note: List all engagements of engineering experience beginning with the earliest and ending with your current position. Endorsement form (Section 6) should correspond with this section. All engagements listed must be described on an endorsement form and someone familiar with your work (preferably your supervisor) should endorse it.

Section 4: Education

 

 

 

 

PE COMITY

 

 

 

 

 

 

 

INSTITUTION AND LOCATION

FROM

TO

Date of

 

 

 

 

 

 

 

 

 

 

 

 

 

Mo/Yr

Mo/Yr

Graduation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

High Schools: (Transcripts not needed)

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

Colleges and Universities: (Transcripts

needed from all schools ever attended listed unless applicant is submitting NCEES record)

FROM

Mo/Yr

TO

Mo/Yr

TOTAL MONTHS

MAJOR FIELD

DEGREE EARNED

1.

2.

3.

4.

5.

Section 5: Affidavit by Applicant

I hereby swear and affirm that all information provided in this application is true and correct to the best of my knowledge and belief. I further swear and affirm that I have read and understand the current state laws and rules and regulations of the Georgia State Board of Registration for Professional Engineers and Land Surveyors, and I agree to abide by these laws and rules, as amended from time to time.

By signing this application, electronically or otherwise, I hereby swear and affirm one of the following to be true and accurate pursuant to O.C.G.A. § 50-36-1:

1)_______I am a United States citizen 18 years of age or older. Please submit a copy of your current Secure and Verifiable Document(s) such as driver’s license, passport, or other document as indicated on page 12 of the application.

2)_______I am not a United States citizen, but I am a legal permanent resident of the United States 18 years of age or older, or I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act 18 years of age or older with an alien number issued by the Department of Homeland Security or other federal immigration agency. Please submit a copy of your current immigration document(s) which includes either your Alien number or your I-94 number and, if needed, SEVIS number.

In making the above attestation, I understand that any failure to make full and accurate disclosures may result in disciplinary action by the Georgia State Board of Registration for Professional Engineers and Land Surveyors and/or criminal prosecution.

State of _________, County of ______________Applicant's Signature_______________________________

Subscribed and sworn to before me this_________day of _____________ , 20______

___________________________________________________(SEAL)

Signature of Notary Public

My commission expires:________/_______/_________

NON-ENGINEERING AND RELATED GAPS

PE COMITY

PLEASE LIST (references not needed)

 

Applicant Name: ____________________________________________

 

If no gap information is needed to be entered, check here:

 

From _______________To ______________

Description ___________________________________________________

From _______________To ______________

Description ___________________________________________________

From _______________To ______________

Description ___________________________________________________

From _______________

To ______________

Description

___________________________________________________

 

 

From _______________

To ______________

Description

___________________________________________________

 

 

 

This is page 1 of a two-page form. Please return both pages stapled together.

PE COMITY

Section 6: Endorsement Form

 

SECTION 6-A (TO BE COMPLETED BY APPLICANT)

 

Name: __________________________________________________________

 

Engagement # as listed in Section 3: _______ Social Security Number_____-____-___________

 

This endorsement is for: Reference & Experience Verification

Reference Only

Experience Verification Only

GA Law Section 43-15-15(d) states: “An application shall contain the names of not less than five persons, not related to the applicant by blood or marriage, of whom at least three shall be registered, active professional engineers…having personal knowledge of the experience on which the applicant predicates his qualifications.”

Experience described on this form was obtained while employed by (company name): ___________________________

Street Address: _____________________________ City: _______________ State: ________ Zip: _________

For this engagement, please provide name of direct supervisor: ___________________________________________

Was your direct supervisor a registered PE? Yes

No

Other: ___________________________________________

Endorser for this engagement: _____________________________________________

State your title(s) & Name of Company. Describe experience (one line is not sufficient) detailing in first person the work you personally performed in design, study, review, testing or other tasks which required your engineering skills. This work should be progressive in difficulty and magnitude; demonstrate sufficient breadth and scope, not a narrow technical skill focus; and reflect the acquired ability to design and apply engineering principles to demonstrate that your judgment may be trusted on projects involving public health and safety. Do not attach resume or project lists. Experience must be verified by PE associates even if you are self-employed.

 

 

Dates

 

Engagement

 

 

 

 

#:

 

From

 

To

 

 

Mo/Yr

 

Mo/Yr

 

___/_____

 

___/_____

 

 

Type of Experience

%

 

 

 

Engineering Design

 

 

 

 

Engineering Studies, Reports, Evaluations

 

 

 

Engineering Research, Data Preparation &

 

Interpretation

 

 

Title: ______________________________________________

Name of Company: __________________________________

Experience Description:

Other Engineering Related Activities

Non-Engineering (including surveying)

Accurate

Section 6B – To Be Completed by Endorser

Applicant’s description in Section 6A above is:

Inaccurate Explain if inaccurate: ____________________________________________________________

Were you the applicant’s direct supervisor for this engagement?

Yes

No

If direct supervisor, were you a registered engineer?

Yes

No

State Registered/#: ______________________

Discipline: ____________________________________ Date of Issue: ___________________________________________

Signature: _________________________________________________

This is page 2 of a two-page form. Please send both pages stapled together.

PE COMITY

Section 6-C (to be completed by the endorser/reference)

 

The Georgia Board prefers that you mail this form back to the applicant in the applicant’s enclosed pre-addressed stamped envelope. Seal the envelope and sign the back flap to ensure against tampering. If you prefer to mail the form directly to the Board office at 237 Coliseum Drive, Macon, GA 31217-3858, please make a blank copy of this form and mail it back to the applicant following the directions above, then mail the completed form to the Board.

Name of Applicant: ____________________________________________________

1a. How well do you know the applicant:

very well

well

slightly

not at all

1b. List dates (months and years) of contact with the applicant: __________________ to _____________________

1c. Basis of contact:

As the applicant’s PE supervisor

As an associate or co-worker in Engineering work

Other (explain): __________________________________

Are you related by blood or marriage?

Yes

No

2.Do you have personal knowledge of the applicant’s engineering work?

Yes

No If yes, complete entire form.

If no, complete only items 3 & 10.

3.What is your opinion of the applicant’s personal integrity and reputation? __________________________________________

4. Would you employ applicant in a position of trust: Yes

No If no, explain: __________________________________

5.Using the interpretation below, please rate the practice and quality of performance of the applicant’s engineering work.

Type of Practice

Responsible Charge

Above

Average

Below

Unsatisfactory

Unknown

 

Yes

No

Average

 

Average

 

 

Engineering Design

 

 

 

 

 

 

 

Engineering Studies

 

 

 

 

 

 

 

Engineering Data Interpretation

 

 

 

 

 

 

Engineering Other

 

 

 

 

 

 

 

Interpretations:

 

 

 

 

 

 

 

Above Average:

Performance unquestionably of a professional level demonstrated through competence and creative ability.

 

Average:

Work not distinguished in content or level, but adequate for engineering purposes indicating an ability, under some supervision, to produce

 

workable design of systems and products.

 

 

 

 

 

 

Below Average:

Performance needs careful checking and rather close supervision to meet requirements.

 

 

 

Unsatisfactory:

Inadequate for “the purpose of safeguarding life, health and property.”

 

 

 

 

Unknown:

Did not review work or work with applicant in this area. Cannot determine proficiency.

 

 

 

6.Licensure in Georgia is not by classification of any discipline of Engineering practice. However, the Board is interested in the applicant’s background and experience and appreciates your appraisal in selecting the discipline in which the applicant is most proficient.

Civil Breadth with Depth in:

Environmental

Geotechnical

Structural

Transportation

Water Resources

Structural I

Electrical

Environmental

Mechanical

Other ______________________

7. Considering the need to protect the public health, safety and welfare, in your opinion how does this applicant rank in professional

competence and responsibility:

Qualified

Additional Experience Needed

Unqualified

8.Remarks: The Board will appreciate additional information or amplifying information regarding the applicant’s engineering experience, capabilities, or limitation, if any. Use reverse side for continuation of comments, if necessary.

_______________________________________________________________________________________________________

9.Based on the definition of the practice of engineering, GA Law 43-15-2(11), do you recommend the applicant for PE licensure?

Yes

No

10.I certify that the above statements are true and correct to the best of my personal knowledge, not made for the purpose of aiding an unqualified applicant to become licensed but with full realization of the responsibility toward the public where the safeguarding of life, health and property is concerned or involved.

Print Name: ____________________________________________________________________________________________

FirstMILast

State of PE License/Number: __________________ Date Issued: _____________ Discipline: __________________________

Present Position: ______________________________________ Firm: ____________________________________________

Address: _____________________________________________

Daytime Phone: (_____) _________________________________

Signature: ______________________________Date: __________

SEAL

If licensed, please verify with professional engineer seal with signature.

Georgia State Board of Registration for

Professional Engineers & Land Surveyors

VERIFICATION OF OUT-OF-STATE LICENSURE

EXAMINATION AND REGISTRATION

Instructions to the Applicant:

1.The Applicant should:

a.Complete his or her name and address on the top portion, upper right corner on the reverse side of this form.

b.Fill in the name of the state board completing this form.

c.Forward this form to the out-of-state board where the applicant is certified or registered.

2.Comity Applicants should:

a.Submit a form to the state of their Engineer-In-Training (EIT) and to the state of their initial Professional Engineer (PE) registration.

b.If registration is not currently valid in the state of the initial registration, submit a form to the state where a current valid registration is held.

c.If the applicant currently lives in a state other than initial licensure, submit a form to that state. If the applicant is not licensed in the state of residence, please indicate in Section 1 of the application.

3.This form may be copied if necessary.

Notes to applicant:

1.It is the policy of some states/agencies is to only send the verification/documentation directly to the Georgia Board rather than to the applicant. This is permissible.

2.It is the policy of some states/agencies to charge a fee for verification and if so, the state will not process the request until the fee is received. Before you mail this verification request to the state Board, check their website or call them to verify their fee policy.

Instructions to the Out-of-State Board:

The Out-of-State Board should complete Sections 1 - 4 on the reverse side of this form, enter the appropriate state name, and return to the applicant in a sealed envelope with an official signature on the flap of the envelope to assure no tampering. The Georgia Board will not accept this form to be transmitted via e-mail or fax.

REQUEST FOR VERIFICATION OF REGISTRATION OR EXAMINATION FOR PE COMITY APPLICANT

TO (State Requested): ________

Date:

_______________

 

 

 

 

Name:

_____________________________________________

FROM: GA Board of PELS

Address:

_____________________________________________

237 Coliseum Drive

 

_____________________________________________

Macon, GA 31217

City:

________________

State: ____

Zip:

________

 

SSN:

____-____-_______

DOB:

____/____/______

1.THE ABOVE NAMED PERSON WAS CERTIFIED OR REGISTERED AS:

 

Certificate

Date

Valid Until

 

#

Issued

 

 

Engineer-In-Training/Engineer Intern……………………..

________

________

________

________

________

________

Professional Engineer………………………………………

________

________

________

Land Surveyor-In-Training/Land Surveyor Intern…………

________

________

________

Land Surveyor………………………………………………..

________

________

________

2.BASIS OF REGISTRATION:

 

 

 

(Pass/Fail)

(Yes/No)

 

 

 

Hours

Results

NCEES

Exam Date

Written Examination:

FE

________

________

________

________

 

PE

________

________

________

________

 

FLS

________

________

________

________

 

LS

________

________

________

________

Other

Other

________

________

________

________

Examination Option:

_________________________________________________(Discipline)

Oral Examination:

Hours PE _____________

Hours LS ___________________

EIT/LSIT Accepted from: ___________________________________________________________

PE/LS Accepted from:

___________________________________________________________

Other: ____________________________________________________________________

3.QUESTIONS:

1.

Has any disciplinary action ever been taken against the applicant?

Yes

No

2.

If so, has this disciplinary case been satisfied to the Board’s requirements?

Yes

No

 

(If not, give details):

 

 

4. REMARKS:

(BOARD SEAL)

 

By:_____________________________________ Title:___________________________ Date:__________

Verifying State:____________________________

(If a fee is required, please notify the applicant but do not delay the processing of this form)

Form Information

Fact Name Details
Governing Body The application is governed by the Georgia State Board of Professional Engineers & Land Surveyors.
Application Fee The fee for the application is $70 and is non-refundable.
License Type The application is specifically for the Professional Engineer license.
Comity Basis Applicants can apply for licensure by comity if they hold a valid PE license from another state.
Social Security Requirement Applicants must provide their Social Security Number on the application form.
Documentation for NCEES Holders NCEES Record Holders are not required to submit endorsements or transcripts as part of their application.
Endorsement Requirement Five endorsements from individuals familiar with the applicant's engineering experience are required.
Physical Address Applicants must provide a physical address; P.O. Boxes are not acceptable.
Signature and Notarization The application must be signed and notarized to be valid.
Legal Attestation Applicants must attest to their citizenship status and provide appropriate documentation.

Detailed Guide for Filling Out Georgia Pe Comity Application

Filling out the Georgia PE Comity Application form requires careful attention to detail. Each section of the application must be completed accurately to ensure a smooth review process. Once you have filled out the application, you will need to submit it along with any required documentation to the appropriate board office.

  1. Begin by providing your personal information in the designated fields. This includes your name, date of birth, and social security number.
  2. Fill out your physical address and mailing address. Ensure that you do not use a P.O. Box for your physical address.
  3. Indicate your current employment details, including the name of your firm and your position.
  4. Complete Section 1 by answering questions about any past convictions, license issues, or civil court findings. Provide documentation if necessary.
  5. In Section 2, fill in your registration details, including any EIT and PE certificates you hold. List all states where you are currently registered.
  6. Gather and prepare supporting documentation as needed. This may include official transcripts, verification of licensure, and endorsements from colleagues.
  7. Complete Section 3 by detailing your engineering experience. List each position held, including company name and duration of employment.
  8. In Section 4, provide your educational background, including all colleges and universities attended.
  9. Read and complete Section 5, the affidavit, where you affirm the truthfulness of your application. Ensure to sign and have your signature notarized.
  10. Double-check all sections for accuracy and completeness before submitting your application and supporting documents.

Obtain Answers on Georgia Pe Comity Application

  1. What is the Georgia PE Comity Application?

    The Georgia PE Comity Application is a form that allows licensed professional engineers from other states to apply for licensure in Georgia. This process is designed for individuals who have already obtained their Professional Engineer (PE) license elsewhere and wish to practice in Georgia without having to retake the exam.

  2. What is the application fee?

    The application fee for the Georgia PE Comity Application is $70. This fee is non-refundable, meaning that once it is paid, it cannot be returned, regardless of the outcome of your application.

  3. What information do I need to provide?

    You will need to provide a variety of information, including:

    • Your name and contact information
    • Your Social Security number
    • Your date of birth
    • Details about your engineering experience
    • Verification of your current or previous licensure
    • Endorsements from other professional engineers

    Be sure to complete all sections of the application thoroughly to avoid delays.

  4. Do I need to submit my transcripts?

    If you hold an NCEES Council Record, you do not need to submit your transcripts, as they are included in that record. However, if you do not have an NCEES Record, you must provide official transcripts from all colleges attended, regardless of whether you graduated.

  5. What is the role of endorsements in the application process?

    Endorsements are essential as they provide verification of your engineering experience. You must obtain at least five endorsements from individuals who are familiar with your work. Out of these, three must be from currently active Professional Engineers who are not related to you. These endorsements validate your qualifications and can significantly strengthen your application.

  6. What happens if I have a criminal record?

    If you have ever been convicted of a felony or misdemeanor, or have pled guilty to any offense, you must disclose this information in your application. Providing complete and honest documentation is crucial, as failure to do so may result in disciplinary action or denial of your application.

  7. How long does the application process take?

    The processing time for the Georgia PE Comity Application can vary. Generally, it may take several weeks to a few months, depending on the completeness of your application and the volume of applications being processed. To expedite the process, ensure all required documents are submitted correctly and on time.

Common mistakes

Filling out the Georgia PE Comity Application form can be a straightforward process, but there are several common mistakes that applicants often make. One of the most frequent errors is failing to provide complete and accurate personal information. Applicants may overlook sections such as the physical address or mailing address, which must be filled out completely. Omitting any part of this information can lead to delays or even a rejection of the application.

Another common mistake involves the handling of the Social Security Number. Some applicants either forget to include it or make errors in entering the numbers. This information is crucial for identification purposes, and inaccuracies can create significant issues in processing the application.

Many applicants also neglect to check the requirements for submitting endorsements. Each applicant must provide a specific number of endorsements from individuals who can vouch for their professional experience. Failing to gather the required endorsements or submitting forms that do not meet the criteria can result in complications. It's essential to ensure that all endorsements come from qualified individuals who are not related by blood or marriage.

Another area where mistakes frequently occur is in the section regarding previous licenses. Applicants sometimes forget to disclose past licenses that were revoked, suspended, or sanctioned. This information is vital for the Board to assess an applicant's qualifications accurately. Not providing this information can lead to serious consequences, including denial of the application.

Inaccuracies in the education section can also pose problems. Applicants may not provide complete details about their educational history or fail to include transcripts when required. Each college or university attended should be listed accurately, along with the dates of attendance and degrees earned. This information must align with the supporting documents submitted.

Some applicants overlook the importance of signing and notarizing the application. This step is crucial for validating the application. Without a signature or notarization, the application may be considered incomplete, leading to delays or denial.

Lastly, applicants sometimes misunderstand the requirements regarding the NCEES record. Those who hold an NCEES record must ensure they fill out the appropriate sections and request that their record be sent electronically to the Georgia Board. Failure to do so can complicate the application process and may require additional steps to rectify the situation.

Documents used along the form

When applying for a Professional Engineer (PE) license in Georgia through the Comity process, several additional forms and documents are often required to support your application. Each of these documents plays a crucial role in verifying your qualifications and experience. Here is a list of commonly required forms and documents:

  • Official Transcripts: These documents provide proof of your educational background. You must submit transcripts from all colleges or universities attended, regardless of whether you graduated.
  • Foreign Degree Evaluation: If you earned your degree outside the United States, you will need an evaluation from an approved provider. This ensures that your degree meets U.S. educational standards.
  • Verification of Licensure: This document confirms your original exam and licensure status from both the EIT (Engineer in Training) and PE licenses. It may also include verification from the state where you currently reside.
  • Endorsement Forms: You are required to gather endorsements from at least five individuals who can attest to your engineering experience. Three of these endorsements must come from currently active PEs who are not related to you.
  • NCEES Council Record: If you hold a current NCEES Record, it can be submitted in place of some other documentation. This record consolidates your educational and professional history.
  • Application Fee Payment: A non-refundable fee of $70 must accompany your application. This payment is necessary for processing your application.
  • Notarized Affidavit: You will need to sign an affidavit affirming the accuracy of the information provided in your application. This must be notarized to ensure its validity.
  • Secure and Verifiable Document: If you are a U.S. citizen, you must submit a copy of a secure document, such as a driver's license or passport. Non-citizens will need to provide immigration documents.
  • Application for Registration as a Professional Engineer by Comity: This is the main application form that includes sections requiring detailed information about your education, experience, and professional background.

Gathering these documents promptly will help ensure a smooth application process. Each piece of information is vital in demonstrating your qualifications to practice engineering in Georgia. Make sure to review all requirements carefully and submit everything as directed to avoid delays in your application.

Similar forms

  • Professional Engineer License Application: Similar to the Georgia PE Comity Application, this document is used by individuals seeking to obtain a Professional Engineer license in various states. Both require personal information, educational background, and professional experience details.
  • Engineer-in-Training (EIT) Application: This application is for those who have completed their engineering degree and wish to become certified as Engineer-in-Training. Like the PE Comity Application, it requires educational transcripts and personal information.
  • State Licensing Board Application: Many states have their own licensing boards for engineers. These applications often share similar requirements, including proof of education, work experience, and background checks.
  • Reciprocity License Application: This document allows engineers licensed in one state to obtain licensure in another. It mirrors the PE Comity Application by requiring proof of current licensure and professional qualifications.
  • Continuing Education Verification Form: Engineers often need to provide proof of ongoing education to maintain their license. This form is similar in that it requires documentation of professional development activities, just like the experience verification in the PE Comity Application.
  • Background Check Consent Form: This form is often required for various licensing applications, including the PE Comity Application. It authorizes the board to conduct a background check on the applicant.
  • Professional References Form: Similar to the endorsement requirements in the PE Comity Application, this document collects references from peers or supervisors who can vouch for the applicant's experience and character.
  • Foreign Credential Evaluation Application: For applicants who completed their education outside the U.S., this document assesses the equivalency of foreign degrees. It parallels the PE Comity Application's requirement for degree evaluations for foreign education.
  • Application for Reinstatement of License: Engineers whose licenses have lapsed can apply for reinstatement. This application shares similarities with the PE Comity Application in terms of required documentation and personal disclosures.

Dos and Don'ts

When filling out the Georgia PE Comity Application form, it's important to follow specific guidelines to ensure your application is processed smoothly. Here are seven things to keep in mind:

  • Do provide accurate and complete information in all sections of the application.
  • Do ensure your name matches your official documents, especially if there have been any changes.
  • Do submit all required supporting documentation, including transcripts and endorsements.
  • Do double-check your application for any errors or omissions before submission.
  • Don't use a P.O. Box as your physical address; it is not acceptable.
  • Don't forget to have your application notarized where indicated.
  • Don't leave any questions unanswered; all items must be completed for your application to be considered.

Misconceptions

Here are ten common misconceptions about the Georgia PE Comity Application form, along with clarifications for each:

  • Misconception 1: The application fee is refundable.
  • The application fee of $70 is non-refundable, regardless of the outcome of your application.

  • Misconception 2: Only Georgia residents can apply.
  • Individuals from other states can apply for a Georgia PE license through comity, provided they meet the necessary requirements.

  • Misconception 3: You do not need to provide any documentation if you have an NCEES record.
  • NCEES Record Holders must still complete sections 1 through 5 of the application, but they are not required to submit additional endorsements or transcripts.

  • Misconception 4: All engineering experience must be documented in the application.
  • You need to provide endorsements for your engineering experience, but not every detail needs to be included in the application itself.

  • Misconception 5: A criminal conviction automatically disqualifies you.
  • A conviction does not automatically disqualify you. You must disclose it and may need to provide documentation, but each case is evaluated individually.

  • Misconception 6: You can submit a P.O. Box as your physical address.
  • A P.O. Box is not acceptable for the physical address. You must provide a street address.

  • Misconception 7: You can use any name on the application.
  • You must use your legal name as it appears on official documents, especially if it differs from the name you wish to display on your license.

  • Misconception 8: Endorsements can come from anyone.
  • Endorsements must come from individuals who are currently active Professional Engineers and have personal knowledge of your work. They cannot be related to you.

  • Misconception 9: You can skip sections if you have previously applied.
  • Every section must be completed, even if you have applied before. This ensures that all information is current and accurate.

  • Misconception 10: The application does not need to be notarized.
  • It is essential to sign the application and have your signature notarized to validate your submission.

Key takeaways

Filling out the Georgia PE Comity Application form requires attention to detail. Here are key takeaways to keep in mind:

  • Application Fee: A non-refundable fee of $70 is required when submitting your application.
  • Complete All Sections: Ensure that every section of the application is filled out completely. Incomplete applications may lead to delays.
  • Physical Address: Provide a physical address; P.O. Boxes are not acceptable.
  • NCEES Record Holders: If you hold an NCEES Record, you are not required to submit additional endorsements or transcripts.
  • Documentation for Convictions: If applicable, be prepared to provide documentation for any criminal convictions or license issues.
  • Endorsements Required: You need at least five endorsements from individuals familiar with your engineering experience, including three licensed PEs.
  • Sealed Envelopes: Submit all supporting documents in sealed envelopes, with signatures on the back flaps to prevent tampering.
  • Signature and Notarization: Remember to sign your application and have it notarized in Section 5.
  • Educational Transcripts: If not using an NCEES Record, include official transcripts from all colleges attended.
  • Affidavit Requirement: Be prepared to affirm your citizenship status and provide relevant documents as proof.

Following these guidelines will help ensure a smoother application process. Take the time to review your application thoroughly before submission.