Work Experience Certification - New Jersey Division …

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State of New JerseyDEPARTMENT OF LAW AND PUBLIC SAFETYDIVISION OF CONSUMER AFFAIRSBOARD OF EXAMINERS OF ELECTRICAL CONTRACTORS124 HALSEY STREET, 6TH FLOOR, BOX 45006NEWARK, NEW Jersey 07101973-504-6410Work Experience Certification (To be completed by the individual named as a reference.)(Please type or print clearly.)_______________________________ ________________________________________ ____________Name of applicantName of reference and company name____________________________________ ________________________________________ _______Applicant's home addressReference's home or business address_________________________________ ________________________________________ __________ Home telephone number (include area code)Reference's telephone number (include area code)___________________________________ ________________________________________ ________E-mail addressE-mail above applicant has asked you to certify his or her qualifications (See , Qualifications of Applicants, on thereverse side) to take the examination for an Electrical Contractor's license.

N.J.A.C. 13:31-2.1 Qualifications of Applicants a. Applicants for examination for a license as an electrical contractor shall present proof to

  Work, Certifications, Experience, Work experience certification