APPRENTICE PLUMBER LICENSE RENEWAL ... AWS
January 1, 2018 through December 31, 2018
APPRENTICE PLUMBER LICENSE RENEWAL NORTH DAKOTA STATE PLUMBING BOARD SFN 13134 (10-2017)
ALL LICENSES MUST BE RENEWED ON OR BEFORE JANUARY 31, 2018. HOURS WORKED AFTER JANUARY 31 WILL NOT BE COUNTED TOWARDS YOUR APPRENTICESHIP IF YOUR LICENSE IS NOT CURRENT. To renew your license online, please see the instructions on the back of this page. Enclosed is the schedule for the 2018 Continuing Education Sessions offered by the North Dakota State Plumbing Board. There is no fee for Apprentice Plumbers, as you are not required but encouraged to attend. Journeyman exams will be given in Bismarck on February 12, April 9, June 11, August 13, October 8 and December 10, 2018. Exams will also be given in Fargo and Grand Forks. The $25 exam fee must be received by this office prior to scheduling an exam.
Please print. Return this renewal form with your payment. Information Required Name
Email Address
Address
City
State
License Number
Telephone Number
Cell Phone Number
ZIP Code
Have you ever been convicted of a felony under the laws of this state or any other jurisdiction? No Yes - explain in full on a separate sheet of paper. Employer Name Address
City
Business Telephone Number
Fax Number
Credit Hours According to Our Records
Number of Hours Worked 1/1/2017
State
- 12/31/2017
ZIP Code
Total
Call board office for hours Master Plumber Signature
Hours Worked for Another Employer
License Number
Dates
Master Plumber Signature
Total License Number
LICENSE FEE SCHEDULE 1st Year - Up to 1900 hours $20.00 2nd Year - 1901 to 3800 hours $30.00 3rd Year - 3801 to 5700 hours $40.00 4th Year - 5701 to 7600 hours $50.00 5th Year - Over 7600 hours $75.00
North Dakota State Plumbing Board - 1110 College Drive Suite 210 - Bismarck, ND 58501 701-328-9977 - (Fax) 701-328-9979 Email address: [email protected] www.ndplumbingboard.com
APPRENTICE PLUMBER LICENSE RENEWAL NORTH DAKOTA STATE PLUMBING BOARD SFN 13134 (10-2017)
ALL LICENSES MUST BE RENEWED ON OR BEFORE JANUARY 31, 2018. HOURS WORKED AFTER JANUARY 31 WILL NOT BE COUNTED TOWARDS YOUR APPRENTICESHIP IF YOUR LICENSE IS NOT CURRENT. To renew your license online, please see the instructions on the back of this page. Enclosed is the schedule for the 2018 Continuing Education Sessions offered by the North Dakota State Plumbing Board. There is no fee for Apprentice Plumbers, as you are not required but encouraged to attend. Journeyman exams will be given in Bismarck on February 12, April 9, June 11, August 13, October 8 and December 10, 2018. Exams will also be given in Fargo and Grand Forks. The $25 exam fee must be received by this office prior to scheduling an exam.
Please print. Return this renewal form with your payment. Information Required Name
Email Address
Address
City
State
License Number
Telephone Number
Cell Phone Number
ZIP Code
Have you ever been convicted of a felony under the laws of this state or any other jurisdiction? No Yes - explain in full on a separate sheet of paper. Employer Name Address
City
Business Telephone Number
Fax Number
Credit Hours According to Our Records
Number of Hours Worked 1/1/2017
State
- 12/31/2017
ZIP Code
Total
Call board office for hours Master Plumber Signature
Hours Worked for Another Employer
License Number
Dates
Master Plumber Signature
Total License Number
LICENSE FEE SCHEDULE 1st Year - Up to 1900 hours $20.00 2nd Year - 1901 to 3800 hours $30.00 3rd Year - 3801 to 5700 hours $40.00 4th Year - 5701 to 7600 hours $50.00 5th Year - Over 7600 hours $75.00
North Dakota State Plumbing Board - 1110 College Drive Suite 210 - Bismarck, ND 58501 701-328-9977 - (Fax) 701-328-9979 Email address: [email protected] www.ndplumbingboard.com
