Apprentice Electrician License Application Instructions printable pdf download

PO Box 12157  Austin, Texas 78711-2157

(800) 803-9202  (512) 463-6599  FAX (512) 475-2871

 cs.electricians@tdlr.texas.gov

APPRENTICE ELECTRICIAN LICENSE APPLICATION INSTRUCTIONS

The application must be completed and signed by the applicant. An application is not considered complete and will not

be processed until all required items have been submitted. All information provided must be typed or printed in black

ink. Attachments must be submitted on separate pieces of single-sided, 8½” x 11” paper. Use a paperclip to fasten all

pages together, with the check or money order on top. Do not use staples.

DOCUMENTS SUBMITTED WITH YOUR APPLICATION WILL NOT BE RETURNED. KEEP A COPY OF YOUR COMPLETED

APPLICATION, ALL ATTACHMENTS, AND YOUR CHECK OR MONEY ORDER.

NAME – Write your legal name in the spaces provided. (Last, First, Middle Name, Suffix) Examples of a suffix include Jr., Sr., and

II. (Mr. is not a suffix.)

DATE OF BIRTH – Write your birthdate.

GENDER – Select whether you are male or female.

SOCIAL SECURITY NUMBER – Social Security number disclosure is required by Section 231.302(1) of the Texas Family Code in

order to obtain a license. Your social security number is subject to disclosure to an agency authorized to assist in the collection of

child support payments. For more information regarding child support payments, contact the Texas Attorney General at:

or call (512) 460-6000 or (800) 252-8014.

MAILING ADDRESS – Write your current mailing address. This is the address where we will send you mail. This address can be a

post office box. You can add the zip plus-4 to help the postal service deliver mail more efficiently and accurately.

PHYSICAL ADDRESS – Write your physical address of your residence. Do not use a post office box for this address.

PHONE NUMBER – Write a telephone number, including the area code, where we can reach you during the day. This may be

your office phone number where we can leave a message.

EMAIL ADDRESS – Write your email address. Please provide your email address so the department may email license infor-

mation and required notices to you. Your email address is confidential pursuant to the Texas Public Information Act, and the de-

partment will not share it with the public.

CRIMINAL HISTORY – Indicate if you have ever been convicted of, or placed on deferred adjudication for, any misdemeanor or

felony, other than a minor traffic violation. If YES, complete and attach a Criminal History Questionnaire for each offense. This form

can be obtained from the TDLR website at /MISC/lic002.pdf

If you are worried your criminal history could prevent you from getting this license, Texas allows you to have your criminal history

evaluated before submitting your application and non-refundable fees. To request a criminal history evaluation, submit a Criminal

History Evaluation Letter, a completed Criminal History Questionnaire form for each crime you were convicted of, or placed on

deferred adjudication for, and a $25 fee. You can find more information on the process and download the necessary forms on the

TDLR website at /crimHistoryEval.htm

10. DISCIPLINARY ACTION HISTORY – Indicate if you have ever had an occupational license, certification, or

registration suspended, revoked, or denied in any state. If you have, complete and attach a

Disciplinary Action Questionnaire for each disciplinary action. This form can be obtained from the TDLR website at

/misc/Disciplinary Action Questionnaire.pdf

11. STATEMENT OF APPLICANT - Carefully read the statement of applicant before dating and signing your

application.

APPLICATION INFORMATION FOR MILITARY SERVICE MEMBERS, MILITARY VETERANS AND MILITARY SPOUSES

The Texas Department of Licensing and Regulation recognizes the contributions of our active duty military service members, their

spouses, and veterans. If you want to use one of the licensing options available to military service members, military veterans and

military spouses, please complete the Military Service Member, Military Veteran or Military Spouse Supplemental Application

(TDLR form MIL001) and attach it with your license application. The form is located on the TDLR website at:

If you have additional questions about qualifications, training or experience requirements relating to occupation licensing for military

service members, military veterans or military spouses please go to the TDLR Military Information web page at: http://

/military.htm.

State law prohibits renewing a license more than once after a licensee has defaulted on a student loan guaranteed by the Texas

Guaranteed Student Loan Corporation (TGSLC) unless the licensee has entered into a repayment agreement with TGSLC.

YOU SHOULD CONTACT TGSLC BEFORE FILING THIS APPLICATION if you have defaulted on a student loan. An application or

renewal may be rejected if this agency has received information from TGSLC that the applicant has defaulted on a student loan. The

Texas Guaranteed Student Loan Corporation can be contacted at: Texas Guaranteed ATTN: Collections, PO Box 83100, Round

Rock, TX 78683-3100, Telephone: (800) 222-6297, or email: .

Apprentice Electrician License Application Instructions

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