STATE OF MARYLAND



STATE OF MARYLAND

DEPARTMENT OF LABOR, LICENSING & REGULATION

DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING

STATE BOARD OF HEATING, VENTILATION, AIR CONDITIONING AND

REFRIGERATION CONTRACTORS

500 N. CALVERT STREET, 4th Floor

BALTIMORE, MD 21202

(410) 230-6159 FAX (410) 244-0977

IMPORTANT INSTRUCTIONS TO ALL MASTER APPLICANTS

NO FEE REQUIRED WITH THIS APPLICATION

Any questions, please email DLOPLHVACR_DLLR@ or fax your questions to: HVACR STAFF at (410) 244-9077.

YOU ARE REQUIRED TO DO THE FOLLOWING:

1) When completing your application be sure to check the OPTION under which you are applying and

follow the specific instructions for additional documentation, which may be required for the

OPTION. Answer all the questions on the application.

2) When you have completed the above requirements then please submit:

a) The completed application with the original signature;

b) The completed and an outline of principal work duties on employer letterhead;

c) All the required documentation for the OPTION under which you are applying; and

d) Any additional educational or other documentation you believe further supports your application.

3) Mail the application packet to the following address: STATE BOARD OF HVACR CONTRACTORS

500 N. CALVERT STREET, 4th Floor

BALTIMORE, MARYLAND 21202-3651

SPECIAL NOTE

Pursuant to Business Regulation Article, Annotated Code of Maryland, §9A-302 which became effective October 1, 1996, the State Board authorized credit up to 6 years of experience to an applicant for prior work experience that the Board deems to constitute comparable work experience to that required under 9A-302, and if the failure of the applicant to meet the requirements of the law is not attributable to the fault or neglect of the applicant. To be considered under this provision, you must be able to document that the reason you had failed to have a MASTER license before Jan. 1, 1995 was not attributable to fault or neglect.

Pursuant to §9A-302, the Board is also authorized to credit up to 3 years of experience to an applicant who is able to document that they had been teaching formal HVACR courses.

*IT IS THE RESPONSIBILITY OF EACH APPLICANT (NOT THE EMPLOYER) TO MAKE SURE THAT AN INDIVIDUAL WHO PROVIDES OR ASSISTS IN PROVIDING HVACR SERVICES HOLDS A STATE HVACR LICENSE AND THAT IT IS KEPT CURRENT.

*ONCE THE APPLICANT ACCEPTS A STATE HVACR LICENSE HE/SHE IS LOCKED INTO THAT LICENSE CATEGORY FOR THE REQUIRED “EXPERIENCE TIME” BEFORE THE INDIVIDUAL IS ELIGIBLE TO APPLY FOR THE NEXT LEVEL LICENSE.

WORK EXPERIENCE, EDUCATION, & HVACR TEACHING ALL APPLICANTS MUST COMPLETE THE REQUIREMENTS OF THIS SECTION.

The “WORK CERTIFICATION SHEET” included with tis application may be duplicated. A Separate “WORK CERTIFICATION SHEET” must be fully completed by each employer for whom the applicant desires work experience to be considered. The “WORK CERTIFICATION SHEET” must be completed and signed by the immediate supervisor, manager, or owner if the applicant is applying from Out-of-State and no Master level licensee is available. The “WORK CERTIFICATION SHEET” for existing Maryland HVACR Journeyman must be completed and signed by an ACTIVE MARYLAND MASTER or MASTER RESTRICTED depending on the applicant’s and the Master level licensee or Limited Contractors’ license designation. For example, if an applicant who currently is a licensed Maryland Journeyman wishes to apply for a full MASTER license then the person who signs his/her application must be an ACTIVE MASTER. If an applicant who currently is a licensed Maryland Journeyman wishes to apply for a MASTER RESTRICTED license, then the person signing his/her application must be an ACTUVE MARYLAND MASTER or MASTER RESTRICTED/. To put it simply, an applicant may only apply for the level of license of the individual under who the applicant obtained his/her work experience.

An applicant who is self employed, and In-State you will be required to complete a “WORK CERTIFICATION SHEET” for his/herself and then provide an adequate number of contracts and permits (6 years – minimum or 2 copies each per work category for Master and Master Restricted and 5 years – minimum 2 copies each per work category for limited contractor) with the application to document that the applicant actually provided the HVACR service shown on the “WORK CERTIFICATION SHEET” on a regular basis. The application must be signed by an ACTIVE MASTER or MASTER RESTRICTED depending on which level of license sought by the applicant. It is the law of the state of Maryland that for a HVACR company to operate it must have an insured to contract Master/Master Restricted or Limited Contractor employed by the company.

An applicant who is self employed, and Out-of-State you must fill out a “WORK CERTIFICATION SHEET” for his or herself and then provide an adequate number of contracts and permits (6 years – minimum or 2 copies each per work category for Master and Master Restricted and 5 years – minimum 2 copies each per work category for limited contractor) If a Maryland Master level licensee is not available the application may be signed by the applicant’s manager, supervisor or company owner.

Please note that a LIMITED CONTRACTOR’S license in the State of Maryland only allows the licensee to service and maintain HVACR equipment and systems. This level license does not authorize the licensee to install or replace HVACR equipment or systems.

“An adequate number of contracts” will be construed as meaning at least several contracts for each year for which the State Board is to consider. The contract must reflect work in all of the HVACR areas for which the applicant is applying. If the applicant is applying for a Master or Master Restricted license, the contracts must demonstrate that the applicant installed systems on a regular basis, rather than simply provided repair or maintenance services. If the applicant has prior teaching experience in the area(s) of HVACR and you request the State Board to consider it, then the applicant must provide a letter from the institution where the course was taught. The letter should specify the periods that the applicant taught, and the length of the course, and should also provide a course outline.

FOR LICENSED MARYLAND JOURNEYMAN APPLICANTS USE OPTION (1)(2) ON PAGE 4

In order to qualify to take the MASTER HVACR Incense examination, an applicant who is employed by another, must document six (6) years experience in the HVACR trade by completing the “Work Certification Form” enclosed with the application. It must be signed by an ACTIVE MARYLAND HVACR MASTER with his/her license number. If the applicant has not been employed with the same company for a period if six (6) years, the applicant must make copies of the “Work Certification Form” and have the various companies for which the applicant provided HVACR services verify the work experience for a total of six years of documented experience. All the “Work Certification Form” must be signed by the previous ACTIVE MARYLAND MASTER with his/her license number. The six years of required experience does not have to be consecutive, but during at least 3 of those 6 years, the applicant must have held a Maryland Journeyman level license. There is no “Grandfathering” of any level of HVACR licenses in Maryland. Also, there is no “Reciprocity” of License with any other state of jurisdiction. Every license level requires the applicant to take a license examination. It is recommended that the applicant send a copy of his/her CFC license or any other additional documentation such as additional years of work experience, work history, membership in related trade groups, licenses in other subdivision or states, membership in industry trade group, trade school, vocational schools, formal HVACR teaching experience, completion of approved course of formal study etc.

An applicant may also qualify to take the MASTER or MASTER RESTRICTED license examination by documenting six years of experience in the category indicated on the license application and for at least three of those six years must have held a Maryland HVACR Journeyman license. A “Work Certification Form” must be completed and signed by the ACTIVE MARYLAND HVACR MASTER or ACTIVE MARYLAND MASTER RESTRICTED licensee in the same categories as being sought by the applicant with his/her State license number

To qualify for the LIMITED CONTRACTOR license examination, the applicant must document 5 years of service to HVACR equipment, parts and component replacement, or maintenance of equipment. The applicant must have 2 years of this experience as a licensed Maryland HVACR Journeyman. This License does not allow the licensee to install or replace HVACR equipment or system. THE LIMITED CONTRACTOR LICENSE is not a Master level license. The application must be signed by an ACTIVE MARYLAND MASTER/ACTIVE MARYLAND MASTER RESTRICTED or LIMITED CONTRACTOR with his/her State License number indicated.

FOR IN-STATE APPLICANTS OR OUT-OF-STATE APPLICANT WITH NO EXISTING MARYLAND HVACR LICENSE USE OPTION 3 ON PAGE 4.

In-State or Out-of-State applicants with no existing Maryland HVACR license who are applying for the MASTER/MASTER RESTRICTED or LIMITED CONTRACTOR licenses are encouraged to send in copies of contracts, work orders, or proposals which would show proof of work experience in each category the applicant seeks licensure. The applicant should include copies of all state or local licenses that the applicant holds. If the state in which the applicant resides holds a Master License category, a Master level Licensee in that state must sign the application and they MUST include a SHORT LETTER that details the qualifications of that Master Level Licensee to recommend that applicant. You cannot apply under OPTION 3 if you currently have a Maryland HVACR license. The applicant must document at least six years of experience for the Master Level license and at least 5 years of experience for the Limited Contractor license.

It is recommended that the applicant send a copy of his/her CFC license or any additional documentation such as additional years of work experience, work history timeline, membership in related trade group, licenses from subdivisions in your State, trade schools, vocational schools, formal HVACR teaching experience, completion of approved courses of formal study, etc. If in your state you took a written examination for your HVACR license then include documentation for proof. To be eligible for OPTION 3 the applicant must be able to justify that the reason that he/she had not filed and obtained a Maryland HVACR license prior to May 1, 1996 was not attributable to fault or neglect on the part of the applicant. Written documentation (IN THE FORM OF A LETTER) to support this fact must be provided and included with the application.

SPECIAL NOTES

1. Make sure that your application is signed, dated and legible

2. Make sure you include all necessary dates – when you started and when you left employment

3. If you are In-State, do not have anyone who can sign your application unless he/she is a Master level licensee or if you are Out-of-State then only your immediate supervisor, manager, or owner – Have the name of the “person completing this reference” both print and sign his/her name and include their registration number

4. There are no Company HVACR license numbers issued by the DLLR – ONLY INDIVIDUAL licenses. Each person that provides HVACR services for the company must have their own state HVACR license.

YOU MUST ANSWER EACH OF THESE QUESTIONS: YES NO

1. Have you ever been convicted of a felony or misdemeanor in any state or federal court?

2. Have you ever had this type of license, certificate, registration or permit denied,

suspended, or revoked by Maryland or any other jurisdiction?

*For (YES) answers to questions 4,5, or 6 give particulars with true test court docket or probation papers showing current status.*

FULL NAME:_____________________________________________________________________________

Last Name First Name Middle Name

ADDRESS: _______________________________________________________________________________

Street

_________________________________________________________________________________________

City State Zip code

Home # ___________________ Business #: ___________________ Email: ______________________

Social Security #: ________________________ Date of Birth: _______________________

Place of Birth: ________________________________________________________________

City State Country

CHECK ONE CATEGORY OF HVACR LICENSE FOR WHICH YOU ARE APPLYING

1) I am applying for a Master or Master Restricted examination based upon at least 3 years experience as a Maryland licensed Journeyman. (Give Maryland HVACR Registration Number)

Reg#____________________

2) I am applying to sit for the Limited Contractor license examination based upon 2 years experience as a Maryland licensed HVACR Journeyman. I understand that this license does not allow me to install or replace HVACR equipment or systems. (This is not a Master level license)

3) I am applying to sit for the HVACR license based upon prior qualifying work experience, completion of approved

formal study, or formal HVACR teaching experience.

*Six years of approved experience is needed for a Master or Master Restricted, and five years of approved work experience is needed for the Limited license (as determined by the HVACR STATE BOARD)*

IF YOU WISH TO ONLY APPLY FOR A MASTER “RESTRICTED” LICENSE, INDICATE ALL THE CATEGORISE FOR WHICH YOU ARE APPLYING FOR.

HYDRONIC HEAT (HOT WATER AND STEAM BOILER) Includes boilers (all fuels), (steam or hot water) flues, piping distribution systems, sizing, installation and service, add on coils and Geothermal

FORCED AIR HEAT (OIL AND GAS FURNACE) Includes forced air heating systems, (all fuels), devices, flues, sizing, installation and services.

VENTILATION (DUCT WORK) Includes duct systems, equipment flues, sizing, layout, outside air requirements, installation and service

AIR CONDITIONING (INCLUDES HEAT PUMPS) Includes comfort cooling systems, heat pumps, required piping (drains and refrigeration), sizing, installation and service

REFRIGERATION

Includes (residential/commercial/industrial) walk-in-boxes, freezers, and cascade systems for low temperature applications, installation and service.

NOTIFICATION:

In accordance with Executive Order 01.01.1983-18, the Department of Labor, Licensing and Regulation, is required to advise you as follows regarding the collection of person information:

Personal information requested by the license agency of the department is necessary in determining your eligibility for licensure. Such personal information is also intended for use as an additional mean of verifying the licensee’s identity of to enable the agency to communicate, in a timely manner, with the licensee should the need arise. The licensee has a right to inspect his personal record and to amend or correct the personal data if necessary.

Personal information is generally available for inspection by the public only in accordance with the public information Act. Personal information is not routinely shared with state, federal or local governmental agencies.

CERTIFICATION:

I hereby certify under perjury that the information contained herein this application and attached certification are true and correct to the best of my knowledge, information, and belief. In authorize the release of any information contained within this application to an authorized representative of the Department of Labor, Licensing and Regulation.

________________________________________ ________________ _____________________

PRINT Name of Applicant REGISTRATION # Date

SIGNATURE OF APPLICANT: __________________________________________________

**THIS SECTION IS TO BE FILLED OUT BY LICENSED MASTER**

For Out-of-State applicants with no existing Maryland HVACR license who are seeking a MASTER’s LICENSE, applications can be signed off by immediate supervisor, manager or owner if the Master licensee is not available.

If you are applying for examination based upon experience then you are required to have the “WORK CERTIFICATION FORM” loated below completed by the Maryland HVACR MASTER or MASTER RESTRICTED licensee under whom you have worked. We MUST have the ORIGINAL “WORK CERTIFICATION FORMS” with ORIGINAL SIGNATURES.!! NO COPIES WILL BE ACCEPTED!!.

IN-STATE APPLICATIONS MUST BE COMPLETED BY MASTER LEVEL LICENSEE,

Please provide a detailed description in each area employee is qualified, what type of work (installation/service) the employee was responsible to handle. Each area must be addressed separately. Please provide an outline of the applicant’s principle work duties on COMPANY LETTERHEAD to include dates of employment for each qualification applying for.

➢ HYDRONIC HEAT

(HOT WATER AND STEAM BOILER)

➢ FORCED AIR HEAT

➢ VENTILATION (DUCT WORK)

➢ AIR CONDITIONING

(INCLUDES HEAT PUMPS)

➢ REFRIGERATION

WORK CERTIFICATION FORM FOR MASTER/MASTER RESTRICTED/LIMITED CONTRACTOR

Name of Company:_____________________________________________________________________________

Address: _______________________________________________________________________________

Street

_________________________________________________________________________________________

City State Zip code

Employee’s Job Classification:_______________________ From:____________ To: _______________

Month/Year Month/Year

Principle Job Duties:________________________________________________________________________

________________________________________________________________________________________________________________________________________________

Did the employee work at the equivalent of Journeyman level of above in each of the categories above during employment under your supervision?

Print Name: _____________________________________ Masters Reg. #: _________________

Must be the name of a Maryland full or restricted MASTER

Work Number: ______________________________ Cell Number: ____________________________

I do solemnly affirm under penalties of perjury that the contents of this document are true as stated

Master’s Signature: __________________________________ Date: __________________

---------------------------------------------------------------------------------------------------------------------------------------

FOR OFFICE USE ONLY

Approved by:_______________________________________________ Date: _____________________

Denied by: _________________________________________________ Date: _____________________

Denied by: _________________________________________________ Date: _____________________

Reason for Denial: ____________________________________________________________________________________________

___________________________________________________________________________________________________________

____________________________________________________________________________________________________________

-----------------------

[pic] MASTER [pic] MASTER RESTRICTED [pic] LIMITED

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download