Have you previously filed an application with this state for an electrician s license? Yes No 2.APPLICATION FOR LICENSE BY: EXAMINATION (Please complete Testing Sponsorship Request Form) or RECIPROCAL (Current state-issued journeyman or master/electrical contractor license with which Iowa has a signed reciprocal agreement. Affidavit required) Irrigation System Wiring Disconnect/ Reconnect Existing Air Conditioning or Refrigeration Equipment Sign Installation APPRENTICE ELECTRICIAN - (See Fee Schedule) UNCLASSIFIED PERSON - (See Fee Schedule) See Fee Schedule for amount(s) due and license terms 1. Box) Address City County State Zip Code Part 2 -LICENSE TYPE 1.DESIGNATE TYPE OF LICENSE DESIRED: ELECTRICAL CONTRACTOR (See Fee Schedule) (Certificate of Responsible Licensed Master required) MASTER - (See Fee Schedule) CLASS A or CLASS B (Affidavit required for Class B licensure) RESIDENTIAL MASTER - (See Fee Schedule) RESIDENTIAL ELECTRICAL CONTRACTOR - (See Fee Schedule) RESIDENTIAL ELECTRICIAN - (See Fee Schedule) JOURNEYMAN - (See Fee Schedule) CLASS A or CLASS B (Affidavit required for Class B licensure) SPECIAL ELECTRICIAN - (See Fee Schedule) Special Electrician Endorsements: (Check the appropriate endorsement(s) that you would like to receive. PLEASE TYPE OR PRINT LEGIBLY Part 1- PERSONAL INFORMATION Legal Name (Last, First, Middle) Social Security Number of Birth Telephone Mailing Address (Street or P.O. ALL FIELDS ARE REQUIRED TO BE COMPLETED BY APPLICANT TO RECEIVE A LICENSE. 1 APPLICATION FOR ELECTRICIAN'S LICENSE IOWA ELECTRICAL EXAMINING BOARD SUBMIT TO: ELECTRICAL EXAMINING BOARD 215 EAST 7 TH STREET DES MOINES, IA APPLICABLE LICENSE FEE PAYABLE TO IOWA ELECTRICAL EXAMINING BOARD MUST ACCOMPANY THIS APPLICATION.
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