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Division of Occupational Licensing

P.O. Box 110806, Juneau, AK 99811-0806

CERTIFICATE IN SUPPORT OF APPLICANT’S EXPERIENCE AND QUALIFICATIONS

THE PERSON CERTIFYING THIS DOCUMENT MUST BE LICENSED IN THE MECHANICAL INDUSTRY

IN THE CATEGORY(IES) FOR WHICH THE APPLICANT IS APPLYING

, certify that I have personally known

Name of Certifier (Please print)

from

Name of Applicant

Month/Year

I have been familiar with his/her experience in mechanical work from

Month/Year

1. Check the box that identifies your business relationship to the applicant:

Employer

Employee

Other:

2. Are you familiar enough with the applicant’s work to judge his/her qualification as a mechanical administrator?

Yes

3. The applicant has demonstrated a level of knowledge and skill expected of a journeyman or higher in the following category(ies):

HEATING, COOLING, AND PROCESS PIPING (HCPP) - 12 AAC 39.222

practical experience as a journeyman in heating, cooling, and process piping work for at least four of the six years

immediately before the date of application; or

construction management experience in heating, cooling, and process piping as a field superintendent or similar position

for at least four of the six years immediately before the date of application; or

a degree in mechanical engineering from a nationally or regionally accredited college or university plus practical

experience as a journeyman pipefitter or field engineer in heating, cooling, and process piping work for at least one of

the three years immediately before the date of application; or

a registration in the State of Alaska as a professional mechanical engineer plus management experience in the

mechanical contracting industry as a field engineer or in a similar engineering position for at least one of the three years

immediately before the date of application.

UNLIMITED HVAC/SHEETMETAL (UHVCS) - 12 AAC 39.242

practical experience as a journeyman in HVAC and sheetmetal work for at least four of the six years immediately before

the date of application; or

management experience in HVAC and sheetmetal work as a field superintendent or similar position for at least four of

the six years immediately before the date of application; or

a degree in mechanical engineering from a nationally or regionally accredited college or university plus practical

experience as a journeyman or field engineer in HVAC and sheetmetal work for at least one of the three years

immediately before the date of application; or

a registration in the State of Alaska as a professional mechanical engineer plus management experience in the

mechanical contracting industry as a field engineer or similar engineering position for at least one of the three years

immediately before the date of application.

RESIDENTIAL HVAC (RHVC) - 12 AAC 39.322

practical experience as a journeyman in residential HVAC work for at least two of the four years immediately preceding

the date of application.

UNLIMITED REFRIGERATION (UR) - 12 AAC 39.262

practical experience as a journeyman in refrigeration for at least two of the four years immediately before the date of

application; or

is a graduate of a college, university, or trade school in refrigeration that is accredited regionally or nationally or approved

by the Alaska Commission on Postsecondary Education.

08-4033b (Rev. 8/00)

CONTINUED ON REVERSE SIDE

Form 08-4033b - Certificate In Support Of Applicant'S Experience And Qualifications - Division Of Occupational Licensing

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