Homepage Blank Oregon 440 2570 Form
Outline

The Oregon 440 2570 form serves as an essential document for individuals seeking to obtain an electrical license in the state of Oregon. This application is submitted to the Department of Consumer & Business Services and requires applicants to provide personal information, including their name, address, and Social Security number, which is necessary for licensing purposes. The form outlines various types of electrical licenses available, each with its associated fees, such as the general supervising electrician and limited energy technician licenses. Applicants must also detail their employment history, providing information about previous positions and relevant work experience. Verification of this experience is crucial, as it must be supported by documentation from employers or other credible sources, particularly for those with military backgrounds. Additionally, the application mandates the submission of a passport-style photograph and includes an affidavit where applicants certify the accuracy of their information. A checklist at the end of the form ensures that all necessary steps are completed before submission, thereby streamlining the application process for both applicants and the reviewing department.

Sample - Oregon 440 2570 Form

Electrical License Application

Mail application with payment to:

 

DCBS Fiscal Services

Department of Consumer & Business Services

P.O. Box 14610

Building Codes Division 1535 Edgewater St. NW, Salem, Oregon

Salem, OR 97309-0445

Phone: (503) 373-1268 • Fax: (503) 378-2322

 

Web: bcd.oregon.gov

 

Important: Read the application instructions before completing this form. Please complete all steps before submitting your application and refer to the checklist at the end of this form.

STEP 1

 

 

APPLICANT INFORMATION (please print)

Last

 

 

 

 

First

 

Middle initial

Name:

 

 

 

 

 

 

 

Address (street or P.O. Box):


 
 
 
 


 

 

 

 

City:

 

 

 

 

State:

 

ZIP:

 

 

 

 

 

 

 

 

Phone: (

)

 

Fax: (

)

 

E-mail:

 

 

 

 

 

Social Security number (Required, ORS 25.785):

 

Your Social Security number is required for BCD licenses, certifications, and registrations according to ORS 25.785, ORS 305.385, 42 USC § 405 (c)(2)(C)(i), and 42 USC § 666(a)(13). Failure to provide this information will be basis for application refusal. Your SSN may be shared with other authorities only for tax-administration purposes and child-support enforcement (including identification).

STEP 2

PREVIOUS LICENSES

List all individual or contractor electrical licenses you hold or have held in any state. Submit a copy of all out-of-state licenses with your application.

List license(s):

STEP 3

LICENSE TYPE

 

 

Please select a license type from the list below. Fees are nonrefundable.

The application instructions list the requirements and scope of each license.

General supervising electrician (S) $100.00 General journeyman (J) $100.00

Limited supervising electrician (PS) $100.00

Limited journeyman manufacturing plant (PJ) $100.00 Limited energy technician Class A (LEA) $50.00 Limited energy technician Class B (LEB) $50.00

Limited maintenance electrician (LME) $100.00 Limited residential electrician (LR) $100.00 Limited journeyman sign electrician (SIG) $50.00 Limited journeyman stage electrician (ST) $50.00 Limited building maintenance electrician (BME) $50.00 Limited renewable energy technician (LRT) $50.00 Ltd. maintenance manufactured structures (LMM) $100.00

STEP 4

TEST LOCATION

 

 

Please refer to the enclosed list or our Web site to choose a test location.

Reciprocal applicants do not test.

Preferred testing location:

Make check or money order payable to Department of

Consumer & Business Services. If paying by credit card, applicant must sign credit card information box. DO NOT SEND CASH.

Visa

MasterCard

Discover

Phone: (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

Credit card number

 

 

 

 

Expiration date

 

 

 

 

 

 

Name of cardholder as shown on credit card

 

 

 

 

 

 

 

 

$

 

 

Cardholder signature

 

 

 

 

Amount

 

 

 

 

 

 

 

 

Secure fax for

credit card payments:

(503) 947-2333

Fee varies based on license type.

DCBS Fiscal use only: 12104/0600

Page 1 440-2570 (1/08/COM)

STEP 5

EMPLOYMENT HISTORY

List your experience in order, beginning with your present or most recent position. If more space is needed, attach additional sheets.

Please print

Employer’s name:

 

 

 

Period of employment:

 

 

 

 

Address:

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours worked per week:


 
 



 
 


 

 

 

 

 

 

 

 

 

 

 

 

Phone:

(

)

 

Position/title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor’s name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe work performed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s name:

 

 

 

 

Period of employment:

 

 

 

 

Address:

 

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours worked per week:


 
 



 
 


 

 

 

 

 

 

 

 

 

 

 

 

 

Phone:

(

)

 

 

Position/title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor’s name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe work performed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s name:

 

 

 

Period of employment:

 

 

 

 

Address:

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours worked per week:


 
 



 
 


 

 

 

 

 

 

 

 

 

 

 

 

Phone:

(

)

 

Position/title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor’s name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe work performed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer’s name:

 

 

 

 

Period of employment:

 

 

 

 

Address:

 

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours worked per week:


 
 



 
 


 

 

 

 

 

 

 

 

 

 

 

 

 

Phone:

(

)

 

 

Position/title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor’s name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe work performed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant name:

440-2570 (1/08/COM)

Page 2

Electrical License Application

STEP 6

VERIFICATION OF WORK EXPERIENCE

To provide proof of your work experience, submit an Electrical Experience Verification form (440-2570A) from each of your employers.

OR

Applicants relying on military experience must submit the following:

•
 Official documentation from supervising official showing the type and approximate hours of work experience

•
 Other reliable documentation verifying training and experience if supervisor not located

STEP 7

PHOTOGRAPH OF APPLICANT

Applicants must submit a 2” x 2” passport-style photo. Write your name on the back of your photo and submit it with your application. This photo will be printed on your license when it is issued. Please do not staple the photo.

STEP 8

APPLICANT AFFIDAVIT

1.I hereby certify that, to the best of my knowledge, the information on this application is complete and correct.

2.I understand that my license may be suspended, conditioned, or revoked if I have deliberately falsified my application. ORS 455.125

3.I understand that, if I provide false information on this application or cheat on a licensing examination, my application will be denied and I may not apply for any license or be allowed to take any division-related examination for one year from the date of denial. OAR 918-001-0040

4.I certify that I have read these statements and understand the terms of my license.

Name (print):

Applicant signature:

 

Date:

 

 

 

 

 

 

 

 

 

STEP 9

CHECKLIST FOR APPLICANTS

1.

2.

3.

4.

5.

6.

7.

Application form completed (Form 440-2570) Affidavit signed and dated (Step 8 on application)

Verification of work experience (Form 440-2570A) from each employer. Additional documentation:

Proof of completion of an Oregon-approved apprenticeship or training program

Proof of completion of an out-of-state apprenticeship program recognized by the state of Oregon Official transcripts of classroom training

Proof of a high school diploma, GED, or equivalent. A college degree will substitute. Passport-style photo (2” x 2”) with applicant’s name on the back

Payment of fee

 

 

 

 

DEPARTMENT USE ONLY

 

Approved

Signature:

 

Date:

 

 

 

 

 

 

 

 

 

Denied

Signature:

 

Date:

Comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apprentice applicants must provide proof of completion of a recognized apprenticeship program.

Applicant name:

440-2570 (1/08/COM)

Page 3

Electrical License Application

Electrical Experience Verification

Mail verification to:

Building Codes Division

Department of Consumer & Business Services

P.O. Box 14470

Building Codes Division 1535 Edgewater St. NW, Salem, Oregon

Salem, OR 97309-0404

Phone: (503) 373-1268 • Fax: (503) 378-2322 • TTY: (503) 373-1358

 

Web: bcd.oregon.gov

 

Instructions: You must submit a separate experience verification form for each place of employment. If you are submitting more than one form, do not overlap dates of employment.

 

STEP 1

 

 

 

 

 

 

APPLICANT INFORMATION (please print)

 

 

 

 

 

 

 

Name (applicant):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

State:

 

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone:

(

)

 

Fax: (

)

 

 

 

E-mail:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STEP 2

 

 

 

 

 

 

 

 

PERIOD OF EMPLOYMENT

 

 

 

 

 

 

 

Employer’s name:

 

 

 

 

 

Period of employment:

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

From:

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours worked per week:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone:

(

)

 

 

 

 

 

 

Applicant’s position/title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STEP 3

 

 

 

 

 

 

 

 

VERIFIER INFORMATION

 

 

 

 

 

 

Applicants submitting verification of equivalent training and experience under OAR 918-030-0030(1)(c) must provide verification from the following persons:

A current or previous employer actively involved with the applicant’s work;

The individual who supervised the work if the current or previous employer is no longer in business, is deceased, or otherwise cannot be located; or

A co-worker who was directly involved in the work performed, only if both the employer and the supervisor cannot be located. Co-worker verification must be accompanied by supporting documentation, such as employment records, showing that the verifier worked with the applicant and has knowledge of the work performed.

Name of verifier:

Address:

 

 

Phone: (

)

 

 

 

 

 

 

 

 

 

City:

State:

 

ZIP:

 

 

 

 

 

 

 

 

 

License number(s):

 

 

 

 

 

 

 

 

 

 

 

 

Verifier’s employment relationship to applicant:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

440-2570A (7/06/COM/WEB)

Page 1

Applicant (print name):

STEP 4

VERIFIED EXPERIENCE

1.Enter the type of license you are applying for:

2.From license types on Page 3, choose the categories in which you have work experience and enter them under “Category.” (See example, below.)

3.Under “Total hours,” enter the hours of work experience in each category. The division will consider no more than 2,000 hours of experience per year. OAR 918-282-0030(4).

4.Enter your specific work duty experience under “Description of duties.” If you need more information, see bcd.oregon.gov, “Statutes and Rules,” “Oregon Administrative Rules,” click on 918-282, then scroll down to the desired license type.

5.Make copies of this page, if needed.

Category

 

Total hours

 

Description of duties

(example) Residential wiring

2000

 

Installations, wire pulling, service and panel, conduit, flex, metal

 

 

 

 

 

 

 

 

 

romex boxes, electrical heating systems

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STEP 5

VERIFIER CONFIRMATION

As the verifier of the preceding information, I confirm that it is true and correct to the best of my knowledge.

Verifier name (please print):

Verifier signature:

 

Date:

 

 

 

440-2570A (7/06/COM/WEB)

Page 2

Electrical Experience Verification

ELECTRICAL WORK EXPERIENCE CATEGORIES

General journeyman (J)

General supervisor (S)

Limited residential (LR)

Stockroom, materials handling

Residential wiring

Commercial installations

Industrial installations

Troubleshooting and maintenance

Finishing and fixture hanging

Signal and control systems

Remodeling

Underground construction

Limited supervisor (PS)

Limited plant journeyman (PJ)

Limited maintenance electrician (LME)

Electrical circuits

Motors and generators

Controls, manual and automatic

Troubleshooting

In-place motor cleaning

Lighting

Electrical drawings

Limited journeyman sign (SIG)

Stockroom, materials handling

Pattern and blueprints

Layout design

Assembly of display

Display painting and component parts

Display installation, service, and maintenance

Transportation and hoisting equipment maintenance and repair

Limited journeyman stage (ST)

Stage/film and video/event lighting

Stage/film and video dimmer distribution

Three-phase temporary power distribution

Stage/film and video lamp operator

Stage/film and video/event property

Limited energy, Class A (LEA)

Limited energy, Class B (LEB)

Protective signaling (fire alarm, nurse call, burglar alarm, security and voice evacuation systems that are part of a fire or life safety system) (LEA only)

HVAC

Medical

Boiler controls

Intercom, paging, sound, CCTV

Clock systems

Data telecommunications

Instrumentation

Security

Stockroom, materials handling, shop and service

Limited energy wiring: installations, wire pulling, splices, conduit, flex, tray and duct, control panels and controls, wiring devices, removal and finish work

Troubleshooting and maintenance

Outdoor installations, overhead and underground

Occupation or trade-specific training related to license

Limited building maintenance (BME)

Electrical appliances

Light switches

Light fixtures

Fans

Receptacles

Fluorescent ballasts

Limited renewable energy technician (LRT)

Available only by completing an Oregon apprenticeship

Limited maintenance manufactured structures (LMM)

Two years of experience as a trainee in the repair and maintenance of electrical problems found in manufactured structures, while employed by a manufactured structures manufacturer

To see a detailed list of minimum hourly requirements for each category, go to our Web site, bcd.oregon.gov, “Statutes and Rules,” “Oregon Administrative Rules,” click on 918-282, then scroll down to the desired license type.

440-2570A (7/06/COM/WEB)

Page 3

Electrical Experience Verification

Electrical License Application Instructions

Department of Consumer & Business Services

Building Codes Division 1535 Edgewater St. NW, Salem, Oregon P.O. Box 14470, Salem, OR 97309-0404

Phone: 503-373-1268 • Fax: 503-378-2322

Web: bcd.oregon.gov

Mail application, required documents, your photo, and payment to:

DCBS Fiscal Services

P.O. Box 14610

Salem, OR 97309-0445

LICENSING PROCESS

1.Review the licensing information on Pages 2-4 to determine the scope of work allowed under each license and whether you meet the qualifications for the license.

2.Complete the electrical license application (Form 440-2570) and send all required documentation, your photograph, and fees to the Department of Consumer and Business Services (DCBS). Use the checklist below to ensure your application is complete. Incomplete applications may delay evaluation of your applications.

3.Building Codes Division sends approved applicants a letter of authorization to take an examination. The letter explains the examination procedures and provides the address and telephone number of the test site. The applicant is responsible for scheduling the examination with the test site office.

4.If your application is denied, Building Codes Division will send a denial letter explaining your rights to a hearing.

5.Allow two weeks for Building Codes Division to grade your exam. If you pass the examination, Building Codes Division will issue your license and mail a photo identification card to you.

6.During each three-year license period, all licensees are required to complete continuing education. Go to bcd.oregon.gov to see the continuing education requirements for each license type.

ELECTRICAL LICENSE EXPERIENCE VERIFICATION INSTRUCTIONS

Most applicants are required to submit verification of electrical experience (Form 440-2570A), signed by a verifier, for each place of employment.

1.The person verifying the applicant’s work must be a current or previous employer. If an employer is not available, the person who supervised the work may verify experience. If neither an employer nor supervisor is available, a co-worker who was directly involved may verify experience.

2.The verifier must identify specific categories (e.g., “finishing and fixture hanging,” “commercial installations,” “troubleshooting and maintenance”) from Page 3 of the verification form and list the number of hours worked in each category on the form. A description of duties for each category must be included.

3.The verifier must sign and date the form.

CHECKLIST FOR ELECTRICAL LICENSE APPLICATION

1. Application form completed (Form 440-2570).

2. Affidavit signed and dated (Step 8 on application).

3. Verification of work experience (Form 440-2570A) from each employer.

4. Any additional required documents:

Proof of completion of an Oregon-approved apprenticeship or training program.

Proof of completion of an out-of-state apprenticeship program recognized by the state of Oregon.

Official transcripts of classroom training.

5. Proof of high school diploma, GED, or equivalent. A college degree will substitute.

6. Passport-style photo (2" x 2") with applicant’s name on the back.

7. Payment of fee.

Page 1 440-2570-I (3/08/COM)

ELECTRICAL LICENSE REQUIREMENTS AND SCOPE OF WORK

Applicants are required to provide proof of training and work experience equivalent to an Oregon apprenticeship program. If applicants do not have related training classes, they may alternatively submit verification of twice the amount of required work experience. OAR 918-030-0030(2)

“300 percent rule”: For some licenses, no more than three times the number of minimum hours (300 percent) will be allowed for a single category of work experience. Categories of work experience (residential, commercial, industrial, etc.) required for each license type are listed on the Electrical Experience Verification (Form 440-2570A). Example of

“300 percent rule”: If the minimum requirement is 1,000 hours of residential work, the maximum credit allowed in the residential category is 3,000 hours — three times 1,000.

Below is a brief summary of the work a license holder is allowed to perform and the requirements for each license.

License type and

What this license

The requirements

rule reference

authorizes you to do

for this license

 

 

(1) Be currently licensed as an Oregon journeyman

 

Design, plan, and lay out work; sign all

electrician AND provide verification of an additional

General supervising

8,000 hours of on-the-job journeyman experience.

permits; licensee is the only individual

electrician

OR

authorized to direct, supervise, or control

(S)

(2) Meet the qualifications to be licensed as an Oregon

 

the installation or alteration of an

journeyman electrician and provide verification of an

OAR 918-282-0140

electrical service.

 

 

additional 8,000 hours of on-the-job journeyman

 

 

 

 

experience. (300 percent rule applies.)

 

 

 

 

 

(1) Be currently licensed as an Oregon limited journeyman

 

Design, plan, and lay out work; sign all

manufacturing plant electrician AND provide verification

 

permits; licensee is the only individual

of an additional 8,000 hours of on-the-job plant

Limited supervising

authorized to direct, supervise, or control

journeyman experience.

electrician

the installation, maintenance,

OR

(PS)

replacement, and repair of electrical

(2) Meet the qualifications to be licensed as a limited

OAR 918-282-0160

wiring and electrical products on or in an

journeyman manufacturing plant electrician AND provide

 

 

 

existing operable plant, hospital,

verification of an additional 8,000 hours of on-the-job

 

commercial building, or institution.

plant journeyman experience obtained outside of

 

 

Oregon. (300 percent rule applies.)

 

 

 

 

 

(1) Completion of an approved apprenticeship program

 

 

in Oregon.

 

 

OR

 

 

(2) Official transcripts verifying 576 hours of classroom

 

Make any electrical installation under

training AND verification of 8,000 hours of on-the-job

General journeyman

the supervision, direction, and control of

experience obtained outside of Oregon. Experience MUST

electrician

a general supervising electrician, unless

include a breakdown of hours, showing a minimum of

(J)

doing work that requires the direction of

1,000 hours in EACH category: residential, commercial,

OAR 918-282-0170

a limited supervising electrician or doing

and industrial. (300 percent rule applies.)

 

OR

 

work requiring no supervision.

 

 

(3) Verification of 16,000 hours of on-the-job experience

 

 

obtained outside of Oregon showing a minimum of

 

 

2,000 hours in EACH category: residential, commercial,

 

 

and industrial. (300 percent rule applies.)

 

 

 

Reciprocal general

Design, plan, and lay out work; sign all

(1) Possess an active supervisor/master license in a state

permits; licensee is the only individual

that has a reciprocal licensing agreement with Oregon.

supervising electrician

authorized to direct, supervise, or control

Please refer to our Web site: bcd.oregon.gov/licensing for

(S)

the installation or alteration of an

reciprocal agreements and the application form, Reciprocal

OAR 918-030-0045

electrical service.

Electrical and Plumbing License Application.

 

 

 

 

 

Make any electrical installation under

(1) Possess an active general journeyman license in a state

Reciprocal journeyman

the supervision, direction, and control of

that has a reciprocal licensing agreement with Oregon.

electrician

a general supervising electrician, unless

Please refer to our Web site: bcd.oregon.gov/licensing for

(S)

doing work that requires the direction of

reciprocal agreements and the application form, Reciprocal

OAR 918-030-0045

a limited supervising electrician or doing

 

work requiring no supervision.

Electrical and Plumbing License Application.

 

 

 

 

 

440-2570-I (3/08/COM)

Page 2

Electrical License Application Instructions

Form Information

Fact Name Description
Form Purpose The Oregon 440-2570 form is used for applying for an electrical license in Oregon.
Governing Laws This form is governed by ORS 25.785, ORS 305.385, and OAR 918-001-0040.
Submission Address Applications must be mailed to the Department of Consumer & Business Services at P.O. Box 14610, Salem, OR 97309-0445.
Required Information Applicants must provide personal information, previous licenses, and employment history.
Fees Application fees range from $50 to $100 depending on the type of license requested.
Photo Requirement A 2” x 2” passport-style photo must be submitted with the application.
Verification of Experience Applicants must submit an Electrical Experience Verification form (440-2570A) from each employer.

Detailed Guide for Filling Out Oregon 440 2570

Filling out the Oregon 440 2570 form is a crucial step in your journey toward obtaining an electrical license. Ensure that you have all necessary documents ready before starting the application process. Follow these steps carefully to complete the form accurately.

  1. Applicant Information: Print your last name, first name, and middle initial. Fill in your address, city, state, ZIP code, phone number, fax number, email address, and Social Security number.
  2. Previous Licenses: List all individual or contractor electrical licenses you currently hold or have held in any state. Attach copies of any out-of-state licenses.
  3. License Type: Choose the type of license you are applying for from the provided list. Note the corresponding fee for each license type.
  4. Test Location: Select a preferred testing location from the enclosed list or the website. Reciprocal applicants do not need to test.
  5. Payment: Indicate your payment method. If paying by check or money order, make it payable to the Department of Consumer & Business Services. If using a credit card, fill in the required information and sign the box.
  6. Employment History: List your work experience in order, starting with your most recent job. Include the employer’s name, period of employment, address, hours worked per week, phone number, position/title, supervisor’s name, and a description of your work.
  7. Verification of Work Experience: Submit an Electrical Experience Verification form (440-2570A) from each employer. If relying on military experience, include official documentation of your work experience.
  8. Photograph: Attach a 2” x 2” passport-style photo with your name written on the back. Do not staple the photo.
  9. Applicant Affidavit: Read and certify that the information provided is complete and correct. Sign and date the affidavit.
  10. Checklist: Review the checklist to ensure all required documents are completed and included with your application before submission.

Once you have filled out the form and gathered all necessary documents, you can submit your application to the Department of Consumer & Business Services. Make sure to double-check everything for accuracy to avoid delays in processing your application.

Obtain Answers on Oregon 440 2570

  1. What is the Oregon 440 2570 form used for?

    The Oregon 440 2570 form is primarily an Electrical License Application. Individuals seeking to obtain an electrical license in Oregon must complete this form. The application requires personal information, details about previous licenses, employment history, and verification of work experience. It is crucial for applicants to follow the instructions carefully to ensure their application is processed smoothly.

  2. What information do I need to provide on the application?

    When filling out the Oregon 440 2570 form, applicants must provide:

    • Personal information, including your name, address, and contact details.
    • A list of any previous electrical licenses held in other states.
    • Your preferred license type, which comes with specific fees.
    • A detailed employment history, including job titles, periods of employment, and descriptions of work performed.
    • Verification of work experience, which may require additional documentation from employers.
    • A 2” x 2” passport-style photograph.
    • Payment for the application fee.

    Completing all sections accurately is essential to avoid delays in processing your application.

  3. How do I verify my work experience for the application?

    To verify your work experience, you must submit an Electrical Experience Verification form (440-2570A) for each place of employment. This form needs to be filled out by a current or previous employer who can attest to your experience. If your employer is unavailable, a supervisor or co-worker may also provide verification, but they must have firsthand knowledge of your work. It is important to ensure that the dates of employment do not overlap if submitting multiple forms.

  4. What happens if I provide false information on my application?

    Providing false information on the Oregon 440 2570 form can have serious consequences. If it is discovered that an applicant has deliberately falsified their application, the license may be suspended, conditioned, or revoked. Additionally, the applicant could face a denial of their application and be barred from applying for any license or taking related examinations for a year. Therefore, it is crucial to ensure that all information provided is complete and accurate.

Common mistakes

When filling out the Oregon 440 2570 form, applicants often make several common mistakes that can delay the processing of their applications. One frequent error is failing to read the application instructions thoroughly. The instructions provide essential information that can guide applicants in completing the form correctly. Ignoring this step can lead to incomplete submissions.

Another mistake involves providing incorrect personal information. Applicants sometimes miswrite their names, addresses, or contact details. Such inaccuracies can cause confusion and may result in the application being rejected. It is crucial to double-check all entered information for accuracy.

Some applicants neglect to include their Social Security number, which is a required field. Without this number, the application cannot be processed. The form clearly states that failure to provide this information will lead to refusal of the application. Therefore, ensuring this detail is included is vital.

Additionally, applicants often forget to select the appropriate license type. The form lists various licenses with corresponding fees. Failing to choose the correct type can lead to delays in processing and potential refunds. It is advisable to review the license types carefully before making a selection.

In terms of employment history, some individuals do not provide complete or accurate descriptions of their work experience. This section requires detailed information about previous positions, including duties performed. Incomplete entries can hinder the verification process.

Another common oversight is failing to submit the required Electrical Experience Verification form (440-2570A) from employers. This documentation is essential for proving work experience. Applicants should ensure that they include this form for each place of employment listed.

Applicants sometimes neglect to attach a passport-style photo. The application specifies that a 2” x 2” photo is necessary and must have the applicant's name written on the back. Omitting this photo can result in application delays.

Some individuals also forget to sign and date the affidavit section of the application. This signature confirms that the information provided is accurate. Without this signature, the application may be considered incomplete.

Lastly, applicants may overlook the checklist at the end of the application. This checklist serves as a final review to ensure all necessary documents and information are included. Skipping this step can lead to missed requirements and subsequent delays.

Documents used along the form

When applying for an electrical license in Oregon using the Oregon 440 2570 form, there are several other documents that may be required or helpful in the process. Each of these documents serves a specific purpose in ensuring that your application is complete and meets the necessary requirements. Here’s a brief overview of these forms and documents:

  • Electrical Experience Verification Form (440-2570A): This form is essential for documenting your work experience. Each employer must complete a separate verification form to confirm your hours and duties.
  • Proof of Completion of an Apprenticeship Program: This document verifies that you have completed an Oregon-approved apprenticeship or a recognized out-of-state apprenticeship program, which is often a requirement for licensure.
  • Official Transcripts: If you have completed classroom training relevant to electrical work, official transcripts may be required to demonstrate your educational background.
  • Proof of High School Diploma or Equivalent: A copy of your high school diploma, GED, or equivalent certification is necessary. A college degree can also substitute for this requirement.
  • Passport-Style Photo: A recent 2” x 2” passport-style photo is required. This photo will be printed on your license, so it’s important to follow the specifications carefully.
  • Application Fee Payment: Ensure that you include payment for the application fee, which varies based on the type of license you are applying for. Acceptable payment methods include checks, money orders, or credit cards.
  • Affidavit of Applicant: This section of the application form requires your signature, certifying that all information provided is accurate and complete. Falsifying information can lead to denial or revocation of your license.
  • Checklist for Applicants: This checklist helps ensure that you have completed all necessary steps and gathered all required documents before submitting your application.
  • Verification of Military Experience: If you are relying on military experience for your application, you must submit official documentation from a supervising official detailing your work experience.
  • Test Location Selection: If applicable, you will need to choose a preferred testing location for any required examinations related to your license application.

Gathering these documents can feel overwhelming, but taking it step by step will help you stay organized. Each document plays a critical role in supporting your application and ensuring that you meet all requirements for licensure. Make sure to review everything carefully to avoid delays in the process.

Similar forms

The Oregon 440-2570 form, used for applying for an electrical license, shares similarities with several other documents in the licensing and application process. Below are six documents that have comparable functions or requirements.

  • Electrical Experience Verification Form (440-2570A): This form is essential for applicants to prove their work experience. It requires details about employment history and must be submitted by each employer, similar to how the 440-2570 form requires comprehensive applicant information.
  • Apprenticeship Completion Certificate: This document verifies that an applicant has completed an Oregon-approved apprenticeship program. Like the 440-2570 form, it serves as proof of qualifications and is necessary for licensing.
  • High School Diploma or Equivalent: Applicants must provide proof of a high school diploma or GED. This requirement aligns with the educational prerequisites outlined in the 440-2570 form, ensuring that applicants meet basic educational standards.
  • Official Transcripts: For those who have completed classroom training, submitting official transcripts is required. This serves a similar purpose to the documentation needed in the 440-2570 form, validating educational background relevant to the electrical field.
  • Military Experience Documentation: Applicants relying on military experience must submit official documentation detailing their work experience. This requirement mirrors the verification process in the 440-2570 form, ensuring that all experience is adequately documented.
  • License Renewal Application: This document is used by current license holders to renew their licenses. Similar to the initial application process in the 440-2570 form, it requires updated information and proof of continued qualifications to maintain licensing status.

Dos and Don'ts

When filling out the Oregon 440 2570 form, attention to detail is critical. Here are five things you should and shouldn't do:

  • Do read the application instructions carefully before starting.
  • Do provide accurate and complete information in all sections.
  • Do ensure your Social Security number is included, as it is required.
  • Do submit all necessary supporting documents with your application.
  • Do double-check for any required signatures before submission.
  • Don't leave any sections blank; incomplete applications may be denied.
  • Don't use cash for payment; only checks, money orders, or credit cards are accepted.
  • Don't forget to include a passport-style photo with your application.
  • Don't submit overlapping dates of employment if providing multiple experience verifications.
  • Don't staple any documents, especially your photo.

Misconceptions

Misconceptions about the Oregon 440 2570 form can lead to confusion during the application process. Here are four common misunderstandings:

  • Misconception 1: The form is only for new applicants.
  • Many believe that the Oregon 440 2570 form is exclusively for individuals applying for their electrical license for the first time. In reality, it is also applicable for those renewing or upgrading their existing licenses, provided they meet the necessary requirements.

  • Misconception 2: Social Security numbers are optional.
  • Some applicants think that providing their Social Security number is not mandatory. However, it is a required field on the application. Failure to include this information can result in application denial.

  • Misconception 3: The application fee is refundable.
  • There is a belief that if an application is denied, the fees paid will be refunded. This is not the case. The fees for the application are nonrefundable, regardless of the outcome.

  • Misconception 4: A passport-style photo is not necessary.
  • Some applicants may overlook the requirement for a passport-style photo. This photo is essential, as it will be printed on the issued license. Not submitting this photo can delay the processing of the application.

Key takeaways

  • Read the instructions carefully. Before starting the Oregon 440 2570 form, ensure you understand all application instructions. This will help avoid mistakes that could delay your application.

  • Provide accurate personal information. Fill out your name, address, and contact details clearly. Your Social Security number is mandatory and must be accurate to avoid application refusal.

  • Submit required documentation. Include copies of any out-of-state electrical licenses you hold. Additionally, you must provide an Electrical Experience Verification form from each employer to prove your work experience.

  • Choose the correct license type. Review the list of available licenses and their fees. Make sure to select the one that fits your qualifications and experience.

  • Include a recent photograph. A 2” x 2” passport-style photo is required. Write your name on the back and do not staple it to the application.

  • Double-check your application. Before submitting, use the checklist provided in the application. Ensure all steps are completed, and all necessary documents are included to prevent delays.