Homepage Blank Kentucky Elevator Mechanic License Form
Outline

The Kentucky Elevator Mechanic License application is an essential document for individuals seeking to work as elevator mechanics in the Commonwealth. This application requires applicants to provide personal information, including their name, address, and contact details. Additionally, the form asks for information about the applicant's current employer and their history of elevator-related experience, which may include education, training, or apprenticeship programs. To ensure a complete application, candidates must attach a recent passport-sized photograph and provide documentation verifying their experience. The application also includes a section to confirm whether the applicant has previously held a Kentucky Elevator Mechanic license. Importantly, a nonrefundable application fee must accompany the submission, and the amount varies based on the applicant's birth month and the month they apply. This structured process not only helps maintain high standards in elevator maintenance and safety but also provides a clear pathway for aspiring elevator mechanics to enter the profession.

Sample - Kentucky Elevator Mechanic License Form

COMMONWEALTH OF KENTUCKY

Public Protection Cabinet

Department of Housing, Buildings and Construction

DIVISION OF BUILDING CODES ENFORCEMENT

ELEVATOR SECTION

101 Sea Hero Road, Suite 100

Frankfort, Kentucky 40601-5405

Telephone: 502-573-1694 Fax: 502-573-1059

ELEVATOR MECHANIC LICENSE APPLICATION

Please type or print application. Answer all questions on both sides of this application.

An application fee is to be submitted payable to Kentucky State Treasurer.

1.

Name: _________________________________________________________________

 

Attach a recent

 

 

 

 

Last

 

 

 

First

 

 

 

MI

 

 

 

 

 

 

 

 

 

 

 

 

passport- sized, color

 

Address: _______________________________________________________________

 

 

photograph of applicant

 

 

 

 

 

 

 

 

(Street, Route or Box Number)

 

 

 

 

 

 

here.

 

City:

 

 

 

 

 

 

 

State:

 

 

 

 

Zip: __________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County:

 

 

 

 

 

 

 

 

Telephone: (

 

)

 

 

-_________

 

 

 

Date of Birth:

/

 

/

 

Email address: __________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.Current Employer or Company Name: ______________________________________

Address:

___________________________________________________________________________________________

 

 

(Street, Route or Box Number)

 

 

 

 

 

 

City:

 

 

State:

 

 

 

 

Zip: _______________

County:_____________________________________________

Telephone: (

)

 

- __________

Federal ID Number (Business) ____________________________________________

 

 

 

 

 

3. Elevator Experience History: Education, Training or Apprenticeship Program

*Use additional sheets, if necessary. Begin with most recent work, education or training experience.

Name of Company/School/Apprenticeship Program: _______________________________________________________

Address: ___________________________________________________________________________________________

 

 

(Street, Route or Box Number)

 

 

 

 

 

 

City:

 

 

State:

 

 

 

 

Zip: _______________

County:_____________________________________________

Telephone: (

)

 

- __________

Dates of Attendance:

From ____/____/____ To ____/____/____

 

 

 

 

 

 

Type of Elevator Work/Training ________________________________________________________________________

____________________________________________________________________________________________________

Form EV-4 (Orig. 9-11)

Name of Company/School/Apprenticeship Program: _______________________________________________________

Address: ___________________________________________________________________________________________

 

 

(Street, Route or Box Number)

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

 

 

 

 

Zip: _______________

County:_____________________________________________

Telephone: (

)

 

 

 

 

- __________

Dates of Attendance:

From ____/____/____ To ____/____/____

 

 

 

 

 

 

 

 

 

 

Type of Elevator Work/Training ________________________________________________________________________

____________________________________________________________________________________________________

4. Have you previously held a Elevator Mechanic’s license in the Commonwealth of Kentucky?

 

 

 

 

Yes

 

No

If yes, list license number and date you were first licensed. (Attach copy of license, if available)

 

 

 

 

 

 

 

 

License Number: _______________ Date: ________________

 

 

 

 

 

 

 

 

 

 

The commissioner, in accordance with KRS Chapter 13B, may refuse to issue, suspend, revoke, or refuse to renew the license or certificate of any licensee or certificate holder pursuant to KRS 198B.4033.

Please fill in each circle acknowledging that you have included the following:

O Completed Application and required supplemental documentation (valid for one year from date of receipt)

O An initial application fee (submitted to the Department and payable to Kentucky State Treasurer).

_____ (Initial) I am not in default of any student loans backed by the KHEAA (Kentucky Higher Education Assistance

Authority). I understand that if I am in default of any student loans backed by the KHEAA, I cannot receive a Kentucky Elevator Mechanic license at this time.

______(Initial) I confirm that all information contained on and submitted with this application is current and true to the best

of my knowledge.

Applicant’s Signature: _______________________________________________________ Date:___________________

COMMONWEALTH OF KENTUCKY

 

COUNTY OF_____________________

 

The applicant, whose name is,

, being duly sworn declares that foregoing

subscribed statements are true to the best of their knowledge and belief, and that they have personally signed this application.

Subscribed and sworn to before me thisday of_________________, _______

Notary Public ______________________________

My Commission expires: ______________________

For Office Use Only

Date Received_____________________

Approved ________________________

Issue ____________________________

Pending __________________________

Board Review _____________________

Elevator Mechanic # ________________

Issue & Status _____________________

EV-4 (Orig. 9-11)

Read this section carefully!

The following information shall be submitted with application:

￿One Passport sized photograph taken within 3 months of application.

￿Documentation for verification of experience. (i.e. official Tax documents, copies of business licenses, sworn affidavit attesting to your experience or any other valid documentation of experience). For a complete list of documentation examples, go online to http://dhbc.ky.gov.

￿If applicable for proof of experience, Mechanic license applicants shall provide a copy of certificate of completion of nationally recognized training program, apprenticeship program or apprenticeship registration.

￿Proof of passage of written, oral, or computerized examination if applying pursuant to KRS 198B.4013(2)(a).

Passage of a written, oral, or computerized examination administered by the department based upon the most recent referenced codes and standards

￿Annual Fee for Elevator Mechanic License $96 ($8 per month)

￿A nonrefundable fee must be submitted with this application. Without this fee, this application will not be processed.

￿License shall be pro-rated for initial activation. The Division shall issue a license for no less than 7 months and no more than 18 months, based upon your birth month and time of application.

Mail checks only.

Credit card payments are available online.

Make checks payable to Kentucky State Treasurer.

Elevator Mechanic License

Initial Fee Chart

Use the chart below to determine the correct fee for application. The fee is based on your birth month and the month which you are applying. Add the fees if you are applying for multiple licenses.

Example: If you were born in October and you are applying in July, then the Elevator Mechanic application fee is $120. This license would be valid for 15 months. Each time you renew your license after your initial activation, your license will be valid for one year and will be subject to annual renewal in October (your birth month).

Birth Month

Elevator Mechanic License

Month you are Applying

 

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Jan

$96.00

$88.00

$80.00

$72.00

$64.00

$56.00

$144.00

$136.00

$128.00

$120.00

$112.00

$104.00

Feb

$104.00

$96.00

$88.00

$80.00

$72.00

$64.00

$56.00

$144.00

$136.00

$128.00

$120.00

$112.00

Mar

$112.00

$104.00

$96.00

$88.00

$80.00

$72.00

$64.00

$56.00

$144.00

$136.00

$128.00

$120.00

Apr

$120.00

$112.00

$104.00

$96.00

$88.00

$80.00

$72.00

$64.00

$56.00

$144.00

$136.00

$128.00

May

$128.00

$120.00

$112.00

$104.00

$96.00

$88.00

$80.00

$72.00

$64.00

$56.00

$144.00

$136.00

Jun

$136.00

$128.00

$120.00

$112.00

$104.00

$96.00

$88.00

$80.00

$72.00

$64.00

$56.00

$144.00

Jul

$144.00

$136.00

$128.00

$120.00

$112.00

$104.00

$96.00

$88.00

$80.00

$72.00

$64.00

$56.00

Aug

$56.00

$144.00

$136.00

$128.00

$120.00

$112.00

$104.00

$96.00

$88.00

$80.00

$72.00

$64.00

Sep

$64.00

$56.00

$144.00

$136.00

$128.00

$120.00

$112.00

$104.00

$96.00

$88.00

$80.00

$72.00

Oct

$72.00

$64.00

$56.00

$144.00

$136.00

$128.00

$120.00

$112.00

$104.00

$96.00

$88.00

$80.00

Nov

$80.00

$72.00

$64.00

$56.00

$144.00

$136.00

$128.00

$120.00

$112.00

$104.00

$96.00

$88.00

Dec

$88.00

$80.00

$72.00

$64.00

$56.00

$144.00

$136.00

$128.00

$120.00

$112.00

$104.00

$96.00

Form Information

Fact Name Details
Governing Laws The Elevator Mechanic License is governed by KRS Chapter 198B and KRS Chapter 13B.
Application Fee An initial application fee of $96 must be submitted, payable to the Kentucky State Treasurer.
Experience Documentation Applicants must provide documentation verifying their elevator experience, including tax documents or affidavits.
Photograph Requirement A recent passport-sized color photograph must be attached to the application.
License Duration The license is issued for a period ranging from 7 to 18 months, depending on the applicant's birth month.
Renewal Process After initial activation, the license must be renewed annually, in the applicant's birth month.
Application Processing Applications will not be processed without the required nonrefundable fee.
Prior Licenses Applicants must disclose if they have previously held an Elevator Mechanic license in Kentucky.
Examination Requirement Applicants may need to pass a written, oral, or computerized examination based on current codes and standards.

Detailed Guide for Filling Out Kentucky Elevator Mechanic License

Completing the Kentucky Elevator Mechanic License application is a straightforward process. It requires careful attention to detail and the inclusion of supporting documentation. Once the application is filled out, it should be submitted along with the appropriate fees and any necessary attachments to ensure a smooth review process.

  1. Obtain the application form: Download the Kentucky Elevator Mechanic License application form from the official website or request a physical copy.
  2. Fill out your personal information: Provide your full name, address, county, telephone number, date of birth, and email address in the designated sections.
  3. Attach a recent photograph: Include a recent passport-sized color photograph of yourself in the space provided on the form.
  4. Provide your employer's details: Enter the name and address of your current employer or company, along with the federal ID number if applicable.
  5. Detail your elevator experience: List your education, training, or apprenticeship experience, starting with the most recent. Include the name of the company or school, address, telephone number, dates of attendance, and type of elevator work or training.
  6. Indicate previous licensing: If you have held an Elevator Mechanic’s license in Kentucky before, provide the license number and the date you were first licensed. Attach a copy of the license if available.
  7. Complete the acknowledgment section: Carefully read and initial each statement confirming the completion of the application, the payment of fees, and your compliance with student loan requirements.
  8. Sign and date the application: Ensure that you sign the application and date it appropriately.
  9. Prepare supporting documents: Gather any necessary documentation for verification of your experience, such as tax documents, business licenses, or certificates of completion from training programs.
  10. Calculate the application fee: Determine the correct fee based on your birth month and the month you are applying. Make sure to include this payment with your application.
  11. Submit your application: Mail the completed application form, along with the photograph, supporting documents, and payment, to the Kentucky Department of Housing, Buildings and Construction.

Obtain Answers on Kentucky Elevator Mechanic License

  1. What is the Kentucky Elevator Mechanic License?

    The Kentucky Elevator Mechanic License is a certification required for individuals who install, repair, or maintain elevators in the Commonwealth of Kentucky. This license ensures that the mechanic has the necessary skills and knowledge to perform their duties safely and effectively.

  2. How do I apply for the license?

    To apply for the Kentucky Elevator Mechanic License, you must complete the application form. This form requires you to provide personal information, employment history, and details about your elevator experience. Additionally, you need to submit a recent passport-sized photograph and documentation verifying your experience. The application must be submitted along with the required fee to the Kentucky State Treasurer.

  3. What is the application fee?

    The application fee for the Elevator Mechanic License varies based on your birth month and the month in which you are applying. The fee ranges from $56 to $144. It is important to note that this fee is nonrefundable and must be submitted with your application for it to be processed.

  4. What documentation is required with the application?

    When submitting your application, you must include:

    • A recent passport-sized photograph.
    • Verification of your elevator experience, which can include official tax documents, business licenses, or sworn affidavits.
    • Proof of completion of any nationally recognized training or apprenticeship programs, if applicable.
    • Evidence of passing any required examinations, if you are applying under specific KRS guidelines.
  5. How long is the license valid?

    The initial license will be issued for a period ranging from 7 to 18 months, depending on your birth month and the month you apply. After your initial activation, the license will be valid for one year and will require annual renewal.

  6. Can I renew my license?

    Yes, you can renew your Elevator Mechanic License annually. The renewal process will require you to submit a renewal application and pay the applicable fee. It is important to renew your license before it expires to avoid any interruptions in your ability to work.

  7. What happens if I do not meet the requirements?

    If you do not meet the necessary requirements for the license, your application may be denied. Additionally, if you have defaulted on any student loans backed by the Kentucky Higher Education Assistance Authority, you will not be eligible for the license until the issue is resolved.

  8. Where can I find more information?

    For more detailed information regarding the application process, fees, and requirements, you can visit the Kentucky Department of Housing, Buildings and Construction website at dhbc.ky.gov. This site offers comprehensive resources and guidance for applicants.

Common mistakes

When completing the Kentucky Elevator Mechanic License form, individuals often make common mistakes that can delay the application process. One frequent error is failing to provide a recent passport-sized photograph. The application specifically requires this photo to be attached, and not including it can result in an immediate rejection of the application.

Another mistake involves incomplete information in the personal details section. Applicants sometimes leave out crucial elements such as their county or telephone number. Each field must be filled out accurately to ensure that the application can be processed without unnecessary delays.

Many applicants also overlook the requirement for documentation of their elevator experience. It is essential to submit verification of experience, which may include tax documents or affidavits. Failing to provide this documentation can lead to a denial of the application, as the review process relies on this information for verification.

In addition, some individuals neglect to sign the application. The applicant's signature is a necessary component that confirms the truthfulness of the information provided. An unsigned application will not be processed, leading to further delays.

Another common oversight is related to the payment of the application fee. Applicants may forget to include the nonrefundable fee or submit the incorrect amount based on their birth month. The fee structure is outlined in the application, and it is crucial to adhere to this to avoid complications.

Finally, applicants sometimes fail to check the box confirming that they are not in default of any student loans backed by the KHEAA. This acknowledgment is mandatory, and neglecting to initial this section can prevent the issuance of the license. Ensuring that all sections are completed accurately will help facilitate a smoother application process.

Documents used along the form

When applying for a Kentucky Elevator Mechanic License, several other forms and documents may be required or helpful in the process. These documents ensure that the applicant meets all necessary qualifications and provides a comprehensive view of their experience and training. Below is a list of commonly used forms and documents that accompany the Elevator Mechanic License application.

  • Proof of Experience Documentation: This includes official tax documents, business licenses, or sworn affidavits that verify the applicant's work experience in the elevator industry. Such documentation is crucial for establishing eligibility.
  • Certificate of Completion: Applicants may need to provide a copy of their certificate from a nationally recognized training program or apprenticeship. This serves as proof of formal training in elevator mechanics.
  • Examination Results: If applicable, proof of passing a written, oral, or computerized examination is required. This ensures the applicant has the necessary knowledge of current codes and standards.
  • Application Fee Payment: A nonrefundable application fee must accompany the application. This fee is crucial for processing the application and varies based on the applicant's birth month.
  • Passport-Sized Photograph: A recent color photograph of the applicant is required. This helps in the identification process and must be attached to the application.
  • Notarized Affidavit: Some applicants may need to submit a notarized affidavit confirming the truthfulness of the information provided in the application. This adds an extra layer of verification.

Gathering these documents in advance can streamline the application process and help ensure that all necessary information is provided. Being well-prepared not only demonstrates professionalism but also increases the likelihood of a smooth application experience.

Similar forms

  • General Contractor License Application: Similar to the Elevator Mechanic License, this document requires personal information, work experience, and proof of qualifications. An application fee is also necessary for processing.
  • Plumbing License Application: This application demands details about the applicant's plumbing experience and education. Like the Elevator Mechanic License, it includes an application fee and requires documentation for verification.
  • Electrical License Application: Applicants must provide personal details and proof of electrical work experience. An application fee is required, paralleling the Elevator Mechanic License process.
  • HVAC Technician License Application: This form requires information about the applicant's training and experience in HVAC systems. An application fee and supporting documentation are mandatory, similar to the Elevator Mechanic License.
  • Home Inspector License Application: This document requires the applicant to submit personal information and proof of training or experience in home inspection. An application fee is also necessary, akin to the Elevator Mechanic License.
  • Real Estate License Application: This application requires personal details and proof of completion of real estate education. An application fee is necessary, resembling the Elevator Mechanic License requirements.
  • Cosmetology License Application: Applicants must provide information about their training and experience in cosmetology. An application fee is required, similar to the Elevator Mechanic License.
  • Barber License Application: This document requires personal information and proof of barber training or experience. An application fee is also necessary, paralleling the Elevator Mechanic License process.

Dos and Don'ts

When completing the Kentucky Elevator Mechanic License form, it is essential to approach the process with care and attention. Here are some guidelines to help ensure your application is filled out correctly.

  • Do: Type or print clearly on the application to ensure readability.
  • Do: Answer all questions on both sides of the application to avoid delays.
  • Do: Attach a recent passport-sized color photograph as specified in the instructions.
  • Do: Include all required documentation that verifies your elevator experience.
  • Do: Double-check your application for accuracy before submission.
  • Do: Submit your application fee payable to the Kentucky State Treasurer.
  • Don't: Leave any questions unanswered, as this may result in your application being returned.
  • Don't: Forget to sign and date the application; an unsigned application will not be processed.
  • Don't: Use an outdated photograph; it should be taken within the last three months.
  • Don't: Submit your application without the necessary fee, as it is non-refundable.
  • Don't: Include documents that are not relevant to your experience, as this can complicate your application.
  • Don't: Assume that all information is correct without reviewing it first; errors can lead to delays.

Following these guidelines will help streamline your application process and increase the chances of a successful submission. Your diligence is appreciated and will contribute to a smoother experience.

Misconceptions

Many people have misconceptions about the Kentucky Elevator Mechanic License form. Here are five common misunderstandings and clarifications to help clear things up:

  • Misconception 1: The application can be submitted without a photograph.
  • In reality, a recent passport-sized photograph is a required part of the application. This photo must be attached to the form when you submit it.

  • Misconception 2: Any experience in elevator work is acceptable.
  • Not all experience qualifies. You must provide documentation that verifies your elevator work experience. This could include tax documents or affidavits, among other valid forms of proof.

  • Misconception 3: The application fee is refundable.
  • The application fee is nonrefundable. If you submit your application and later decide to withdraw, you will not get your money back.

  • Misconception 4: You can apply for the license at any time without any restrictions.
  • There are specific guidelines regarding when you can apply. Your license is pro-rated based on your birth month and the month you apply, which affects the fee and validity period.

  • Misconception 5: Completing the application is all that is needed to get the license.
  • Completing the application is just the first step. You also need to submit required documentation and pass any necessary examinations to obtain your license.

Key takeaways

Key Takeaways for Filling Out the Kentucky Elevator Mechanic License Form

  • Ensure you complete all sections of the application. Both sides must be filled out, and all questions answered.
  • Include a recent passport-sized photograph with your application. This should be a color photo taken within the last three months.
  • Be prepared to provide documentation that verifies your elevator experience. This can include tax documents, business licenses, or affidavits.
  • Submit the appropriate application fee. The fee varies based on your birth month and the month you apply. Remember, this fee is nonrefundable and must accompany your application for it to be processed.