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MASTER ELECTRICIAN LICENSE APPLICATION INSTRUCTIONS

MASTER ELECTRICIAN LICENSE APPLICATION INSTRUCTIONS DOCUMENTS SUBMITTED WITH YOUR APPLICATION WILL NOT BE RETURNED. KEEP A COPY OF YOUR COMPLETED APPLICATION , ALL ATTACHMENTS, AND YOUR CHECK OR MONEY ORDER. Provide your legal name in the spaces provided. (Last, First, Middle Name, Suffix) Examples of a suffixinclude Jr., Sr., and II. (Mr. is not a suffix.) OF BIRTH Provide your Select whether you are male or SECURITY NUMBER Social Security number disclosure is required by Section (1) of the TexasFamily Code in order to obtain a LICENSE . Your social security number is subject to disclosure to an agency authorizedto assist in the collection of child support payments. For more information regarding child support payments, contactthe Texas Attorney General or call (512) 460-6000 or (800) ADDRESS Provide your current mailing address. This is the address where we will send you mail. Thisaddress can be a post office box. You can add the zip plus-4 to help the postal service deliver mail more efficiently ADDRESS Provide your physical address of your residence.

10. Have you ever had an occupational license, certification or registration suspended, revoked, or denied in any state? If YES, attach a Disciplinary Action Questionnaire to this application.

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