Licensing Applications & Forms

As of November 13, 2018, all new applications, reissuances, and renewals for Gas Work Qualifications (Full & Limited), Journeyman Registrations (Plumber & Fire Suppression), and Welder Licenses are required to be submitted in DOB NOW: Licensing. Any forms that pertain to Welders below should be completed and uploaded into DOB NOW.

The Department provides Fill-in and Electronic Submission Forms for your convenience. These forms are not to be altered or changed in any way. Persons that are suspected of altering any forms and submitting them to DOB will be reported to the proper authorities.

DPL-1 Form: Design Professional / Licensee Form Seal and Signature Form for DOB NOW

Required in DOB NOW by design professionals and licensees to submit an application.

• Download Form - Rev. 11/18

LIC1 Agency License Application

Use this form to apply, renew or make changes to a Concrete Testing Laboratory.

• LIC1 Form - Rev. 4/21
• LIC1 Instructions

LIC2 License Application

Use this form to apply, renew, or make changes to the following licenses: Construction Superintendent, Concrete Safety Manage, Elevator Inspector, Elevator Director, Elevator Co-Director, Elevator Inspection Agency, Engineer, Hoisting Machine Operator, Master Plumber, Oil Burning Equipment Installer, Rigger, Sign Hanger, Site Safety Manager/Coordinator, and Master Fire Suppression Piping Contractor.

• LIC2 Form - Rev. 6/23
• LIC2 Instructions

LIC2-EL: Elevator License Application

Use this form to apply for or make changes to an Elevator Agency Technician/Restricted Elevator Agency Technician license or Elevator Agency Helper registration.

• LIC2-EL - Rev. 11/21

Elevator Worker Attestation Form

Elevator Directors must complete this form to attest to the fact that an applicant for an Elevator Agency Technician/Restricted Elevator Agency Technician or Elevator Agency Helper is qualified and is under their direct and continuing supervision.

• Elevator Worker Attestation Form - Rev. 11/21

Instructions for Master Plumber & Master Fire Suppression Piping Contractor

• Master Plumber & Master Fire Suppression Piping Contractor Instructions

Instructions for Master/Special Rigger & Master/Special Sign Hanger

• Master/Special Rigger & Master/Special Sign Hanger Instructions

Instructions for Oil Burner Equipment Installer

• Oil Burner Equipment Installer Instructions

Instructions for Stationary/Portable Engineer

• Stationary/Portable Engineer Instructions

LIC4 License Application

Use this form to provide all necessary information regarding work history in a standardized format.

• LIC4 Form - Rev. 4/16
• LIC4 Instructions

LIC5: Work History for Civil Service Electrician

Use this form to provide relevant information about your work history as a Civil Service Electrician.

• LIC5 Form - Rev. 8/15
• LIC5 Instructions

LIC6: General Contractor Registration Form

Use this form to apply for a General Contractor registration.

• LIC6 Form - Rev. 6/23
• LIC6 Instructions

LIC7: Safety Registration Form

Use this form to apply for a Safety Registration number.

• LIC7 Form - Rev. 8/15
• LIC7 Instructions

LIC8: Filing Representative Application

Use this form to apply, renew, or change information on your Filing Representative Registration.

• LIC8 Form - Rev. 9/18
• LIC8 Instructions

LIC9: Professional/Agency Identification Card Application

This form is for Professional/Inter-Agency Personnel requiring Identification card in order to do business with the Department.

• LIC9 Form - Rev. 10/14

LIC33: Business Address Verification

Use this form to verify your business address.

• LIC33 Form - Rev. 11/23

LIC34: Licensing Supplemental Affidavit

Use this form to indicate any convictions or fines.

• LIC34 Form - Rev. 7/08

LIC35: Sustainable Contractor Application

Use this form to apply for a Sustainable Contractor Designation.

• LIC35 Form - Rev. 1/12
• LIC35 Instructions

LIC38: Electrical License Renewal Application

Use this form to renew Master and Special Electrician licenses.

• LIC38 Form - Rev. 6/23
• LIC38 Instructions

Due to the COVID-19 pandemic, all new applicant testing for Written and Practical exams is suspended until further notice. LIC41 and LIC42 applications are still being accepted, however, please expect processing delays until test sites re-open.

LIC41: Written Exam Application

Use this form to apply for the written exam for the following license types: Master and Special Electrician, Master Plumber, Master Fire Suppression Piping Contractor, Master Rigger, Master Sign Hanger, High Pressure Boiler Operating Engineer, Oil Burner Equipment Installer, Tower/Climber Crane Rigger, Site Safety Manager, Private Agency Elevator Director/Inspector, and Gas Work Qualification.

• LIC41 Form - Rev. 2/21

LIC42 Practical Exam Application

Use this form to apply for the practical exam for the following license types: Master and Special Electrician, Master Plumber, Special Rigger, Master Rigger, Special Sign Hanger, Master Sign Hanger, High Pressure Boiler Operating Engineer, Oil Burner Equipment Installer, Tower/Climber Crane Rigger.

• LIC42 Form - Rev. 1/19

LIC50 Authorization for Service of Process by Agent

Use this form to designate an Agent to accept service of Notices of Violation (NOV)/Summonses issued by the Department.

• LIC50 Form - Rev. 1/18
• LIC50 Instructions

LIC51 Voluntary Authorization for Service of Process by Email

Use this form to voluntarily agree to accept Department-issued service of Notices of Violation (NOV)/Summonses by email.

• LIC51 Form - Rev. 9/17
• LIC51 Instructions

LIC60: Visual Acuity Examination Form for Welders

Examination must be completed by an Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse or Certified Physician's Assistant.

• LIC60 Form - Rev. 12/11

LIC61: Physical Examination Form

Physical Examination form for Riggers and Hoist Machine Operators only. It must be completed by a physician after a medical examination.

• LIC61 Form - Rev. 8/17

LIC62: Physical Examination Form

Use this form to show proof of fitness qualification for the following license/registration: Welders; Site Safety Professionals; Private Elevator Inspection Agency Directors and Inspectors; Sign Hangers; High-Pressure Boiler Operating Engineers; Oil Burning Equipment Installers; Plumbers; Construction Superintendents; Concrete Safety Managers; Electricians; and Fire Suppression Piping Contractors. It must be completed by a physician after a medical examination.

• LIC62 Form - Rev. 10/17

LIC70: Designated Foreman Form

Use this form to designate, or renew foremen performing work for licensed Master/Special Riggers and Sign Hangers. This form will also be used when a foreman has been terminated or removed.

• LIC70 Form - Rev. 4/15
• LIC70 Instructions

Affidavit: Lost/Stolen License

Use this form to request a replacement Department-issued card(s) if your license was lost or stolen. The affidavit must be submitted with a police department incident report indicating the license was either lost or stolen.

• Form - Rev. 10/16

Background Investigation Questionnaire

All license applicants must pass a background investigation. Applicants must complete the following form and return it to the Department to begin their background investigation.

• Background Investigation Questionnaire Form - Rev. 12/19
• Additional Employment History - Rev. 12/19
• Additional Comments - Rev. 12/19

Child Support Certification Form

A Child Support Certification form must be completed, whether you have children or not, upon the initial application process, and for every renewal.

• Child Support Certification Form

Hoist Machine Operator B Exam Attestation Form

Use this form to add ratings to your Hoist Machine Operator B license that will allow for the operation of cranes with boom configurations that exceeds 300 feet in length, including all attachments.

• Hoist Machine Operator B Exam Attestation Form - Rev. 6/18

Supplemental Investigation Questionnaire

Use the below forms in addition to the Background Investigation Questionnaire for background investigation for the following license types: Hoist Machine Operator A,B & C, Master Plumber, General Contractor Registration, High Pressure Boiler Operator Engineer (Stationary), Master Fire Suppression Piping Contractor, Master and Special Rigger, Tower Crane Rigger, Oil Burner Equipment Installer, Private Elevator Agency Director and Inspector, Master/Special Electrician, Welder, Master & Special Sign Hanger.

• Climber/Tower Crane Rigger - Rev. 5/15

• Concrete Safety Manager - Rev. 5/18

• Construction Superintendent - Rev. 5/16

• Electrician - Rev. 5/15

• General Contractor Registration - Rev. 5/15

• High Pressure Boiler Operating Engineer - Rev. 5/15

• Hoist Machine Operator, Class A - Rev. 3/17

• Hoist Machine Operator, Class B - Rev. 5/15

• Hoist Machine Operator, Class C - Rev. 5/15

• Master Fire Suppression Piping Contractor Class A, B or C - Rev. 5/15

• Master Plumber - Rev. 3/16

• Master Rigger - Rev. 5/15

• Master Sign Hanger - Rev. 5/15

• Oil Burner Equipment Installer Class A or B - Rev. 5/15

• Private Elevator Inspection Agency Inspector/Director - Rev. 5/15

• Site Safety Coordinator - Rev. 12/16

• Site Safety Manager - Rev. 12/16

• Special Rigger - Rev. 5/15

• Special Sign Hanger - Rev. 5/15

SIA1 Special Inspection Agency Registration (Renewal & Change Applications Only)

Use this form to renew or make changes to your Special Inspection Agency registration. Applicants applying for their initial registration must register with the Department online.

• SIA1 Form - Rev. 1/24 or Register Online
• SIA1 Instructions
• SIA1 Registration Cover Sheet

Class 1 / Class 2 Filing Representative Future Completion of Training Courses Affidavit

Until the required Department-approved training courses for Class 1 and Class 2 Filing Representative registrations become available, submit this Affidavit in lieu of a Certificate of Completion when applying for or renewing a Class 1 or Class 2 Filing Representative registration.

• Class 1/Class 2 Filing Representative Future Completion of Training Courses Affidavit - Rev. 8/22

Class 2 Code and Zoning Representative Experience Verification Form

Use this Experience Verification form as part of the background investigation for new Class 2 Code and Zoning Representative applicants. This form must be given to each Professional Engineer or Registered Architect who is attesting to job filings you are claiming as experience.

• Filing Representative Experience Verification Form - Class 2 Form - Rev. 4/13

Concrete Safety Manager Experience Verification Form

Use this Experience Verification form as part of the new Concrete Safety Manager application. This form must be given to each employer/supervisor noted on your application.

• Concrete Safety Manager Experience Verification Form - Rev. 3/14

Construction Superintendent Experience Verification Form

Use this Experience Verification form as part of the new Construction Superintendent application. This form must be given to each employer/supervisor noted on your application.

• Construction Superintendent Experience Verification Form - Rev. 1/24

Elevator Inspector or Elevator Director Experience Verification Form

Use this Experience Verification form as part of the background investigation questionnaire for new Elevator Inspector/Director applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire

• Elevator Inspector or Elevator Director Experience Verification Form - Rev. 12/21

High Pressure Boiler Operating Engineer/Stationary Engineer Experience Verification Form

Use this form as part of the background investigation questionnaire for new High Pressure Boiler Operating Engineer/Stationary Engineer applicants. This form must be given to each supervising licensee noted in your background investigation questionnaire

• High Pressure Boiler Operating Engineer/Stationary Engineer Experience Verification Form - Rev. 12/14

Hoisting Machine Operator Experience Verification Form

Use this Experience Verification form as part of the background investigation questionnaire for new Class A, B & C Hoisting Machine Operator applicants. This form must be given to each supervising licensee noted in your background investigation questionnaire.

• Hoisting Machine Operator Experience Verification Form - Rev. 3/16

Oil-Burning Equipment Installer Experience Verification Form

Use this Experience Verification form as part of the background investigation questionnaire for new Oil-Burning Equipment Installer applicants. This form must be given to each supervising licensee noted in your background investigation questionnaire.

• Oil-Burning Equipment Installer Experience Verification Form - Rev. 10/14

Master/Special Electrician Experience Verification Form

Use this Experience Verification form as part of the background investigation questionnaire for new Master/Special Electrician applicants. This form must be given to each licensee/supervisor noted in your background investigation questionnaire.

• Master/Special Electrician Experience Verification Form - Rev. 9/13

Master Plumber or Master Fire Suppression Piping Contractor Experience Verification Form

Use this Experience Verification form as part of the background investigation for new Plumber/Fire Suppression applicants. You will be contacted via mail and informed when to submit this form in addition to other documents. This form must be given to each supervising licensee noted on your application.

• Master Plumber or Master Fire Suppression Piping Contractor Experience Verification Form - Rev. 12/14

Sign Hanger: Master/Special Experience Verification Form

Use this Experience Verification form as part of the background investigation questionnaire for new Special and Master Sign Hanger applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire

• Sign Hanger: Master/Special Experience Verification Form - Rev. 10/14

Site Safety Coordinator & Site Safety Manager Experience Verification Form

Use this Experience Verification form as part of the background investigation questionnaire for new Site Safety Coordinator or Site Safety Manager applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire.

• Site Safety Coordinator Experience Verification Form - Rev. 11/23

Special/Master/Tower Cranes Rigger Experience Verification Form

Use this Experience Verification form as part of the background investigation for new Special, Master or Tower Cranes Rigger applicants. This form must be given to each employer/supervisor noted in your background investigation questionnaire, and submitted along with your background investigation documents listed in the Rigger section of the website.

• Special/Master/Tower Cranes Rigger Experience Verification Form - Rev. 1/24

Substance Abuse Attestation

Use this document to confirm your compliance with the Department’s substance abuse mandates.

• Substance Abuse Attestation - Rev. 5/20

Helpful Links

• License Types
• Exams & Qualifications
• Licensing FAQ
• Filing Applications