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A416-0402LIC - Professional Engineer License Application

Commonwealth of Virginia Department of Professional and Occupational Regulation 9960 Mayland Drive, Suite 400 Richmond, Virginia 23233-1485(804) for Architects, Professional Engineers, Land Surveyors,Certified Interior Designers and Landscape ArchitectsPROFESSIONAL Engineer INFORMATION SHEETA416-0402 LIC-v4 Board for APELSCIDLA/PE LIC APP12/01/2021 Page 1 of 7 All applicants must meet the current eligibility requirements at the time the completed Application package is received at the board office. All forms must be legible. Application packages must include all required documentation and fees. Any additional information accompanying the License Application must be identified with the applicant's name.

a completed Professional Engineer License Application and fee; three current Professional Engineer Reference Forms (less than one year old) completed by licensed professional engineers (in a state, territory, or possession of the United States or the District of Columbia) - references must have known the applicant

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