Plumbers License Application - Vermont Department Of Public Safety
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5Vermont Department of Public Safety
OFFICE OF THE STATE FIRE MARSHAL, THE STATE FIRE ACADEMY AND THE STATE HAZ-MAT TEAM
PLUMBERS LICENSE APPLICATION INSTRUCTIONS
*Applications must be completed in blue or black ink and only original copies will be accepted. Anything incomplete,
illegible or containing whiteout will be returned and will delay the application process.*
Section 1: Application Type and Fees
-
• Limited Licensure; Specialists ( P1 and P2)
At least one of the following must also be included with application
Required to be a registered apprentice with Vermont State Apprenticeship Council * as of 9-1-11. Documentation
o
of 2,000 hrs of experience covered by a completion certificate from the Vermont Department of Labor.
Or Any person who completes an application for a Specialist license and documents successful completion of
o
4,000 of on-the-job training hours documented by affidavits from a P1 or P2 licensed Specialist or licensed Master
Plumber as well as formal instruction greater than or equal to 144 hours( 1 year of school).
Application Fee - $50.00 per Specialty Field
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• Limited Licensure; Specialists ( P3)
At least one of the following must also be included with application
4,000 hrs of experience covered by documented affidavits by a P3 licensed Specialist or a Licensed Master
o
Plumber AND Successful completion of a board certified education course concerning water treatment.
Or Any person who completes an application for a Specialist license and documents successful completion of
o
instruction, training and experience in or out of the state acceptable to the board.
Application Fee - $50.00 per Specialty Field (All hours must documented by affidavits from a P3
Licensed Specialist or Licensed Master Plumber)
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• Journeyman
At least one of the following must also be included with application
Certificate of Completion provided by the Vermont State Apprenticeship Council
o
OR Any person who completes an application for a Journeyman license and proves with a certified statement of
o
licensure or completed apprenticeship from another state acceptable to the board.
OR Any person who completes an application for a Journeyman license and documents successful completion
o
of instruction, training and experience in or out of the state acceptable to the board (to include at least 12,000hrs )
Application Fee - $90.00 (All hours must documented by affidavits from a licensed Master Plumber)
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• Master
At least one of the following must also be included with application
Licensed as a Vermont Journeyman for at least 12 months
o
OR Currently licensed outside the state for 1 year equal to a Vermont Journeyman
o
OR Any person who completes an application for a Master License and documents successful completion of
o
instruction, training and experience in or out of the state acceptable to the board. (to include at least 14,000hrs )
Application Fee - $120.00 (All hours must documented by affidavits from a licensed Master Plumber)
Section 2: Applicant Information
• Legal Name – As it appears on your Driver’s license or other legal form of identification. NO NICKNAMES or
ABBREVIATIONS.
• Date of Birth: Please use format - MM/DD/YY
• Social Security Number: REQUIRED on all applications.
• Mailing Address: Please specify address where you can receive year round mail to include licenses, renewal notices, and
additional notices from the Division of Fire Safety.
*It is the responsibility of the applicant/licensee to notify the Division of fire Safety if there is a change in address.*
Section 3: Employment Information, &
Section 4: References to qualifications, &
Section 5: Education Information, &
Section 6: Experience Information
• Please complete all information requested in its entirety.
Section7: Affidavit of Applicant
• All applications MUST be signed AND notarized in order to be accepted. Notary seal only required for oaths taken outside of
Vermont. You may also bring your unsigned application, and photo Identification to the Division of Fire Safety’s Central
Office to have it notarized.
Section 8: Division Contact Information
• Please call or e-mail with any questions you have.
• Remember if the application is not correct or complete it will be returned for completion and delay the process.
• All applications are required to be postmarked or dropped off at the Division of Fire Safety’s Central Office TWO WEEKS
PRIOR to the board meeting date otherwise it will be put on a future agenda.
Section 9: Compliance Questions
• All four questions must be answered and must be signed and dated at the bottom. These questions relate to State of
Vermont obligations ONLY.
Section 10: Employer Affidavit of Experience
Applicant must complete name and address information at the top then this page can be reproduced and mailed/e-
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mailed/faxed to employers for their completion. HOWEVER, once completed by employer the completed signed ORIGINAL
must be mailed back to applicant so it can be included with remainder of application for submission to the Division of Fire
Safety.
Created on 9/7/2012
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