Form 08-4085 - Application For Engineer Or Land Surveyor By Examination Or Comity
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State of Alaska
FOR OFFICE USE ONLY
Department of Community and Economic Development
Division of Occupational Licensing
Board of Registration for Architects, Engineers and Land Surveyors
State Office Building, 333 Willoughby Avenue, 9th Floor
P.O. Box 110806
Juneau, Alaska 99811-0806
(907) 465-2540
E-mail: license@dced.state.ak.us
APPLICATION FOR ENGINEER OR LAND SURVEYOR
BY EXAMINATION OR COMITY
ORIGINAL, COMPLETED, TYPED, NOTARIZED APPLICATION AND ALL FEES MUST BE RECEIVED IN THE JUNEAU OFFICE BY THE
DEADLINE DATE.
$370.00 Engineer
($50.00 nonrefundable application fee, $125.00 review fee, $195.00 registration fee)
by Comity
Professional Engineer Discipline:
$470.00 Land Surveyor
($50.00 nonrefundable application fee, $125.00 review fee, $195.00 registration fee, $100 AKLS exam fee)
by Comity
$390.00 PE Exam
($50.00 nonrefundable application fee, $195.00 registration fee, and $145.00 examination fee)
Professional Engineer, Discipline:
$440.00 PLS/AKLS Exam
($50.00 nonrefundable application fee, $195.00 registration fee, $95.00 PLS examination fee, and
$100.00 AKLS examination fee)
Indicate Exam Site:
Anchorage
Fairbanks
Juneau
$20.00
Wall Certificate (optional) issued upon registration
(MAKE CHECK PAYABLE TO THE STATE OF ALASKA.)
NOTE: Fees are subject to change in accordance with AS 08.01.065. Exam applicants please see 12 AAC 36.050 for application filing
deadlines. You will not be scheduled for any exam until your application is complete (all verifications, transcripts, etc.) and approved by
the board.
NOTE: Comity and exam applicants: If your application is incomplete at the time of the deadline or prior to a board meeting, your
file will be held pending receipt of required documents, up to 12 months, and then your file will be considered abandoned. (See
abandoned application regulations (12 AAC 02.910).)
THE COMPLETE APPLICATION MUST BE TYPED
GENERAL INFORMATION
Title:
Mr.
Ms.
Mrs. (optional)
Name
Last
First
Middle Name or Initial, as you wish it to
appear on your license.
Maiden Name (if applicable)
Birth Date
Social Security Number
(Required by AS 08.01.060) If you are a foreign citizen unable to obtain a
United States Social Security Number, please
contact the division for further instructions.
Mailing Address
City
State
ZIP Code
Business Name
Business Address
City
State
ZIP Code
Present Position
Work Telephone
Home Telephone
OPTIONAL: Fax Number
E-mail Address:
08-4085 (Rev. 11/00)
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