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The application for a Certificate as a Professional Engineer in Georgia, overseen by the Georgia State Board of Professional Engineers & Land Surveyors, is a comprehensive document designed for engineers seeking licensure through comity, meaning their credentials are recognized based on their license in another state. Prospective applicants must detail their personal information, including but not limited to their full name, social security number, contact details, and affiliations with any engineering firms. Importantly, this form stipulates a non-refundable application fee of $70 and differentiates between original licensure and comity-based applications, emphasizing the requirement for extensive documentation such as transcripts, verification of licensure or exams, as well as references to support the application. The form also incorporates sections that clarify the applicant's educational background, professional engineering experience, and any criminal or professional misconduct, ensuring a thorough vetting process. It is critical for applicants to affirm the accuracy of the information provided under penalty of disciplinary actions or criminal prosecution, requiring a notarized signature to confirm their understanding and compliance with state regulations governing the practice of engineering. Additionally, specific instructions for applicants with an NCEES Record streamline the process, highlighting the form's role in facilitating the recognition of professional engineering qualifications across state lines.

Preview - Georgia Pe Comity Application Form

GEORGIA STATE BOARD OF PROFESSIONAL ENGINEERS & LAND SURVEYORS

237Coliseum Drive • Macon, Georgia 31217 • (478) 207-2440 www.sos.ga.gov/plb/pels/

APPLICATION FOR CERTIFICATE AS A PROFESSIONAL ENGINEER

Application Fee $70 (non-refundable)

License Type: PROFESSIONAL ENGINEER

Additional License Types (currently or previously issued by the Georgia Professional Licensing Boards): ___________________________________

Method Obtained by: Applicant is applying for above referenced license by: Comity Original PE license from the State of _______________

Name as desired on License (First, Middle, Last, Suffix): ________________________________

Name as shown on exam records or transcripts (First, Middle, Last, Suffix):

(if different) _____________________________________

Social Security Number: ____ -____-_______ Date of Birth: ___/___/_____

Physical Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

P.O. Box not acceptable for Physical Address

Mailing Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

(if different)

Telephone Day: (____) ____- _____ Telephone Evening: (____) ____-_____

E-Mail Address: __________________________

Affiliation:

Name of firm: __________________________________________

Physical Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

P.O. Box not acceptable

Mailing Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

(if different)

NOTE TO APPLICANT: This information will be entered into the Division database for Accounting and Licensing purposes. All items must be completed, and then duplicated on the next page of the application for Board review.

APPLICATION FOR REGISTRATION AS A PROFESSIONAL ENGINEER BY COMITY

Note: NCEES Record Holders are required to completely fill out sections 1 through 5. NCEES Record Holders are not required to submit endorsements, verification of licensure/exams or transcripts as those items are part of the NCEES Record.

Section 1: General Information

Date: ____________________

 

 

Name (First, Middle, Last, Suffix): ___________________________________________________________

 

Home Address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

 

Preferred address: # Street __________________ Apt/Ste: ______ City: ______ State ___ Zip _____

 

Social Security Number: ____-___-_____ Birthplace: ________________ Date of Birth: ___/___/_____

 

Business Phone: (_____)_____ - ______________ Home Phone

(_____) _____ - ________________

 

 

 

 

Have you ever been convicted or pled nolo contender, pled guilty, or been given first offender status for

 

 

any offense status for any offense which is a felony, misdemeanor, a crime violating a federal law

Yes

No

involving controlled substance or dangerous drug, or a DUI or DWI? If yes, provide documentation.

 

 

Have you ever had a licensed that was revoked, suspended, restricted, probated, or surrendered to any

 

 

licensing board or agency? If yes, provide documentation.

 

Yes

No

Have you ever been found liable in civil court of any misconduct, fraud, or negligence in the practice of

 

 

engineering or land surveying? If yes, provide documentation.

 

Yes

No

Has any professional license granted to you been revoked, suspended or otherwise sanctioned publicly

 

 

or privately, or have you ever been denied license, by any board or agency in Georgia or any other

Yes

No

state? If yes, provide documentation.

 

 

 

Do you hold a current NCEES Record that you plan to submit? If yes, contact NCEES for record to be

 

 

sent electronically to the GA Board and complete all of sections 1 through 5 of this application.

Yes

No

Are you currently registered as a Professional Engineer in the state where you live?

 

 

If no, why not? _________________________________________________

Yes

No

 

 

 

 

Has your name changed since birth?

 

 

 

If yes, why? ____________________________________________________

Yes

No

 

 

 

 

Have you ever applied to this Board for registration before?

 

 

 

If yes list when and what type of application _________________________________________

Yes

No

 

 

 

 

Which one branch of engineering do you propose to practice in the state of Georgia? _________________

Designate the special branches of engineering in which you have been examined: ___________________

Present Employer __________________________________________ Position: ___________________

Note: It is the Board’s policy for Comity applicants who practice or propose to practice Structural Engineering and have taken the PE exam in a discipline other than Structural, to have a minimum of 60 months of Structural engineering experience after successful examination acceptable to the Board at the time of application.

Revised 07-12

Section 2: Registration

PE COMITY

EIT-State ____________ Certificate No ____________

Date of Certification as EIT: ___/___/_______

Number of hours written exam (“0” if no written examination taken): ______

PE-State _____________ Certificate No ____________

Date of first registration as a PE ____/____/________

If registered by written exam, indicate number of hours for the exam (“0” if no exam taken): ____

Indicate exam options taken: _______________________

List all states in which you are currently registered as a PE: _______,_______,_______,_______,_______

List other states and types of registration for which you have applied or are currently applying but do not have final notification of registration: _______,_______,_______,_______

NOTE: If you hold an NCEES Council Record and plan to submit it in lieu of endorsements, verification of licensure/exam and transcripts, then you should completely fill out Sections 1 through 5 of this application and contact NCEES to have them electronically transmit your NCEES record to the Georgia Board for consideration. For further information regarding an NCEES Council Record, please contact NCEES at www.ncees.org or 1-800- 250-1396.

NOTE: If you do not hold an NCEES Council Record, you will need to bundle and send with your application:

Official transcripts for each college attended, whether you graduated or not

Evaluation of foreign degree (if you earned your bachelor’s degree outside the US) from an approved provider. If you choose not to have an evaluation, you will need to send a letter indicating so.

Verification of original exam/licensure of both the EIT and PE, and if different, verification of licensure from the state where you live now. If you are not licensed in your residence state, indicate in Section 1.

Endorsements for all experience you list in Section 3. You must have at least five endorsements/references from five (5) individuals, three (3) of which must be currently active PE’s, that are not related to you by

blood or marriage, are not Board members and who have personal knowledge of your engineering experience, reputation and accomplishments.

All of the above supporting documentation must be sent to the Board in sealed envelopes, with the back flap signed to ensure no tampering. Some states/agencies/individuals prefer to send their documentation directly to the Board, which is permissible. This information will be maintained at the Board office and added to the application file upon receipt.

NOTE: Be sure to sign your application and have your signature notarized (Section 5.)

 

Board Use Only Section:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

School______________________________________

Degree/Date____________________________Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Masters_____________________________________

Degree/Date____________________________Abet Yes_________ No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Technology__________________________________

Degree/Date____________________________ Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other_______________________________________

Degree/Date____________________________ Abet Yes_________No__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EIT/Date Obtained___________ _________ PE/Date Obtained____________________Discipline__________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 3: Engineering Experience

 

 

 

 

 

 

 

 

 

 

 

PE COMITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Engmt

 

 

 

 

Part

From

To

Total

 

%

 

 

Qex

 

%

 

 

Qex

 

%

 

 

Qex

 

 

%

 

 

Qex

 

%

 

 

Qex

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#

Company Name

Your Title

 

Time?

mm/yy

mm/yy

Months

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL NUMBER OF ENDORSEMENTS FORMS: _______

 

 

 

 

 

 

 

 

 

 

Education Total

 

 

 

 

 

 

NCEES Record Requested in lieu of endorsements Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Field:

 

 

 

 

Experience Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References: Positive

(

)

 

 

Total Months

 

 

 

 

 

 

Negative

(

)

 

 

 

 

 

 

 

 

 

Special:

 

 

 

 

Board Member’s Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shaded areas are for Board use only

 

 

 

 

 

 

 

Note: List all engagements of engineering experience beginning with the earliest and ending with your current position. Endorsement form (Section 6) should correspond with this section. All engagements listed must be described on an endorsement form and someone familiar with your work (preferably your supervisor) should endorse it.

Section 4: Education

 

 

 

 

PE COMITY

 

 

 

 

 

 

 

INSTITUTION AND LOCATION

FROM

TO

Date of

 

 

 

 

 

 

 

 

 

 

 

 

 

Mo/Yr

Mo/Yr

Graduation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

High Schools: (Transcripts not needed)

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

Colleges and Universities: (Transcripts

needed from all schools ever attended listed unless applicant is submitting NCEES record)

FROM

Mo/Yr

TO

Mo/Yr

TOTAL MONTHS

MAJOR FIELD

DEGREE EARNED

1.

2.

3.

4.

5.

Section 5: Affidavit by Applicant

I hereby swear and affirm that all information provided in this application is true and correct to the best of my knowledge and belief. I further swear and affirm that I have read and understand the current state laws and rules and regulations of the Georgia State Board of Registration for Professional Engineers and Land Surveyors, and I agree to abide by these laws and rules, as amended from time to time.

By signing this application, electronically or otherwise, I hereby swear and affirm one of the following to be true and accurate pursuant to O.C.G.A. § 50-36-1:

1)_______I am a United States citizen 18 years of age or older. Please submit a copy of your current Secure and Verifiable Document(s) such as driver’s license, passport, or other document as indicated on page 12 of the application.

2)_______I am not a United States citizen, but I am a legal permanent resident of the United States 18 years of age or older, or I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act 18 years of age or older with an alien number issued by the Department of Homeland Security or other federal immigration agency. Please submit a copy of your current immigration document(s) which includes either your Alien number or your I-94 number and, if needed, SEVIS number.

In making the above attestation, I understand that any failure to make full and accurate disclosures may result in disciplinary action by the Georgia State Board of Registration for Professional Engineers and Land Surveyors and/or criminal prosecution.

State of _________, County of ______________Applicant's Signature_______________________________

Subscribed and sworn to before me this_________day of _____________ , 20______

___________________________________________________(SEAL)

Signature of Notary Public

My commission expires:________/_______/_________

NON-ENGINEERING AND RELATED GAPS

PE COMITY

PLEASE LIST (references not needed)

 

Applicant Name: ____________________________________________

 

If no gap information is needed to be entered, check here:

 

From _______________To ______________

Description ___________________________________________________

From _______________To ______________

Description ___________________________________________________

From _______________To ______________

Description ___________________________________________________

From _______________

To ______________

Description

___________________________________________________

 

 

From _______________

To ______________

Description

___________________________________________________

 

 

 

This is page 1 of a two-page form. Please return both pages stapled together.

PE COMITY

Section 6: Endorsement Form

 

SECTION 6-A (TO BE COMPLETED BY APPLICANT)

 

Name: __________________________________________________________

 

Engagement # as listed in Section 3: _______ Social Security Number_____-____-___________

 

This endorsement is for: Reference & Experience Verification

Reference Only

Experience Verification Only

GA Law Section 43-15-15(d) states: “An application shall contain the names of not less than five persons, not related to the applicant by blood or marriage, of whom at least three shall be registered, active professional engineers…having personal knowledge of the experience on which the applicant predicates his qualifications.”

Experience described on this form was obtained while employed by (company name): ___________________________

Street Address: _____________________________ City: _______________ State: ________ Zip: _________

For this engagement, please provide name of direct supervisor: ___________________________________________

Was your direct supervisor a registered PE? Yes

No

Other: ___________________________________________

Endorser for this engagement: _____________________________________________

State your title(s) & Name of Company. Describe experience (one line is not sufficient) detailing in first person the work you personally performed in design, study, review, testing or other tasks which required your engineering skills. This work should be progressive in difficulty and magnitude; demonstrate sufficient breadth and scope, not a narrow technical skill focus; and reflect the acquired ability to design and apply engineering principles to demonstrate that your judgment may be trusted on projects involving public health and safety. Do not attach resume or project lists. Experience must be verified by PE associates even if you are self-employed.

 

 

Dates

 

Engagement

 

 

 

 

#:

 

From

 

To

 

 

Mo/Yr

 

Mo/Yr

 

___/_____

 

___/_____

 

 

Type of Experience

%

 

 

 

Engineering Design

 

 

 

 

Engineering Studies, Reports, Evaluations

 

 

 

Engineering Research, Data Preparation &

 

Interpretation

 

 

Title: ______________________________________________

Name of Company: __________________________________

Experience Description:

Other Engineering Related Activities

Non-Engineering (including surveying)

Accurate

Section 6B – To Be Completed by Endorser

Applicant’s description in Section 6A above is:

Inaccurate Explain if inaccurate: ____________________________________________________________

Were you the applicant’s direct supervisor for this engagement?

Yes

No

If direct supervisor, were you a registered engineer?

Yes

No

State Registered/#: ______________________

Discipline: ____________________________________ Date of Issue: ___________________________________________

Signature: _________________________________________________

This is page 2 of a two-page form. Please send both pages stapled together.

PE COMITY

Section 6-C (to be completed by the endorser/reference)

 

The Georgia Board prefers that you mail this form back to the applicant in the applicant’s enclosed pre-addressed stamped envelope. Seal the envelope and sign the back flap to ensure against tampering. If you prefer to mail the form directly to the Board office at 237 Coliseum Drive, Macon, GA 31217-3858, please make a blank copy of this form and mail it back to the applicant following the directions above, then mail the completed form to the Board.

Name of Applicant: ____________________________________________________

1a. How well do you know the applicant:

very well

well

slightly

not at all

1b. List dates (months and years) of contact with the applicant: __________________ to _____________________

1c. Basis of contact:

As the applicant’s PE supervisor

As an associate or co-worker in Engineering work

Other (explain): __________________________________

Are you related by blood or marriage?

Yes

No

2.Do you have personal knowledge of the applicant’s engineering work?

Yes

No If yes, complete entire form.

If no, complete only items 3 & 10.

3.What is your opinion of the applicant’s personal integrity and reputation? __________________________________________

4. Would you employ applicant in a position of trust: Yes

No If no, explain: __________________________________

5.Using the interpretation below, please rate the practice and quality of performance of the applicant’s engineering work.

Type of Practice

Responsible Charge

Above

Average

Below

Unsatisfactory

Unknown

 

Yes

No

Average

 

Average

 

 

Engineering Design

 

 

 

 

 

 

 

Engineering Studies

 

 

 

 

 

 

 

Engineering Data Interpretation

 

 

 

 

 

 

Engineering Other

 

 

 

 

 

 

 

Interpretations:

 

 

 

 

 

 

 

Above Average:

Performance unquestionably of a professional level demonstrated through competence and creative ability.

 

Average:

Work not distinguished in content or level, but adequate for engineering purposes indicating an ability, under some supervision, to produce

 

workable design of systems and products.

 

 

 

 

 

 

Below Average:

Performance needs careful checking and rather close supervision to meet requirements.

 

 

 

Unsatisfactory:

Inadequate for “the purpose of safeguarding life, health and property.”

 

 

 

 

Unknown:

Did not review work or work with applicant in this area. Cannot determine proficiency.

 

 

 

6.Licensure in Georgia is not by classification of any discipline of Engineering practice. However, the Board is interested in the applicant’s background and experience and appreciates your appraisal in selecting the discipline in which the applicant is most proficient.

Civil Breadth with Depth in:

Environmental

Geotechnical

Structural

Transportation

Water Resources

Structural I

Electrical

Environmental

Mechanical

Other ______________________

7. Considering the need to protect the public health, safety and welfare, in your opinion how does this applicant rank in professional

competence and responsibility:

Qualified

Additional Experience Needed

Unqualified

8.Remarks: The Board will appreciate additional information or amplifying information regarding the applicant’s engineering experience, capabilities, or limitation, if any. Use reverse side for continuation of comments, if necessary.

_______________________________________________________________________________________________________

9.Based on the definition of the practice of engineering, GA Law 43-15-2(11), do you recommend the applicant for PE licensure?

Yes

No

10.I certify that the above statements are true and correct to the best of my personal knowledge, not made for the purpose of aiding an unqualified applicant to become licensed but with full realization of the responsibility toward the public where the safeguarding of life, health and property is concerned or involved.

Print Name: ____________________________________________________________________________________________

FirstMILast

State of PE License/Number: __________________ Date Issued: _____________ Discipline: __________________________

Present Position: ______________________________________ Firm: ____________________________________________

Address: _____________________________________________

Daytime Phone: (_____) _________________________________

Signature: ______________________________Date: __________

SEAL

If licensed, please verify with professional engineer seal with signature.

Georgia State Board of Registration for

Professional Engineers & Land Surveyors

VERIFICATION OF OUT-OF-STATE LICENSURE

EXAMINATION AND REGISTRATION

Instructions to the Applicant:

1.The Applicant should:

a.Complete his or her name and address on the top portion, upper right corner on the reverse side of this form.

b.Fill in the name of the state board completing this form.

c.Forward this form to the out-of-state board where the applicant is certified or registered.

2.Comity Applicants should:

a.Submit a form to the state of their Engineer-In-Training (EIT) and to the state of their initial Professional Engineer (PE) registration.

b.If registration is not currently valid in the state of the initial registration, submit a form to the state where a current valid registration is held.

c.If the applicant currently lives in a state other than initial licensure, submit a form to that state. If the applicant is not licensed in the state of residence, please indicate in Section 1 of the application.

3.This form may be copied if necessary.

Notes to applicant:

1.It is the policy of some states/agencies is to only send the verification/documentation directly to the Georgia Board rather than to the applicant. This is permissible.

2.It is the policy of some states/agencies to charge a fee for verification and if so, the state will not process the request until the fee is received. Before you mail this verification request to the state Board, check their website or call them to verify their fee policy.

Instructions to the Out-of-State Board:

The Out-of-State Board should complete Sections 1 - 4 on the reverse side of this form, enter the appropriate state name, and return to the applicant in a sealed envelope with an official signature on the flap of the envelope to assure no tampering. The Georgia Board will not accept this form to be transmitted via e-mail or fax.

REQUEST FOR VERIFICATION OF REGISTRATION OR EXAMINATION FOR PE COMITY APPLICANT

TO (State Requested): ________

Date:

_______________

 

 

 

 

Name:

_____________________________________________

FROM: GA Board of PELS

Address:

_____________________________________________

237 Coliseum Drive

 

_____________________________________________

Macon, GA 31217

City:

________________

State: ____

Zip:

________

 

SSN:

____-____-_______

DOB:

____/____/______

1.THE ABOVE NAMED PERSON WAS CERTIFIED OR REGISTERED AS:

 

Certificate

Date

Valid Until

 

#

Issued

 

 

Engineer-In-Training/Engineer Intern……………………..

________

________

________

________

________

________

Professional Engineer………………………………………

________

________

________

Land Surveyor-In-Training/Land Surveyor Intern…………

________

________

________

Land Surveyor………………………………………………..

________

________

________

2.BASIS OF REGISTRATION:

 

 

 

(Pass/Fail)

(Yes/No)

 

 

 

Hours

Results

NCEES

Exam Date

Written Examination:

FE

________

________

________

________

 

PE

________

________

________

________

 

FLS

________

________

________

________

 

LS

________

________

________

________

Other

Other

________

________

________

________

Examination Option:

_________________________________________________(Discipline)

Oral Examination:

Hours PE _____________

Hours LS ___________________

EIT/LSIT Accepted from: ___________________________________________________________

PE/LS Accepted from:

___________________________________________________________

Other: ____________________________________________________________________

3.QUESTIONS:

1.

Has any disciplinary action ever been taken against the applicant?

Yes

No

2.

If so, has this disciplinary case been satisfied to the Board’s requirements?

Yes

No

 

(If not, give details):

 

 

4. REMARKS:

(BOARD SEAL)

 

By:_____________________________________ Title:___________________________ Date:__________

Verifying State:____________________________

(If a fee is required, please notify the applicant but do not delay the processing of this form)

Form Data

Fact Name Description
Application Purpose The form is used to apply for a certificate as a Professional Engineer in Georgia through the method of Comity or original licensure.
Application Fee The application process requires a non-refundable fee of $70.
Governing Body The application is reviewed and processed by the Georgia State Board of Professional Engineers & Land Surveyors.
Supporting Documents Applicants must provide supporting documentation such as official transcripts, evaluation of foreign degrees, verification of licensure/exams, and endorsements, depending on whether the applicant has an NCEES Council Record.

Instructions on Utilizing Georgia Pe Comity Application

Filling out the Georgia PE Comity Application is an important step for professional engineers seeking license recognition in the state by comity, or reciprocity. Following the steps properly ensures a smoother process. Here's a guide on how to accurately complete your application.

  1. Read through the entire application form before starting to ensure you understand all requirements.
  2. Gather all necessary documentation, including transcripts, verification of licensure and examination from your original state of licensure, endorsements, and any other requested documents.
  3. Fill in your personal information, including your name as desired on the license and as it appears on your exam records or transcripts, social security number, date of birth, physical and mailing addresses, telephone numbers, and email address.
  4. Specify your affiliation by entering the name and address of your firm.
  5. In the General Information section, enter the required details accurately. This includes preferred address, social security number, birthplace, date of birth, business and home phone numbers.
  6. Answer all questions regarding past convictions, licensure history, civil liabilities, and other professional license sanctions truthfully, providing documentation where necessary.
  7. If applicable, indicate whether you hold a current NCEES Record and plan to submit it, and if you're registered as a Professional Engineer in the state where you reside.
  8. Complete the section on your proposed area of practice in Georgia and other relevant details about your current employment and experience.
  9. In the Registration Section, input your EIT certification details, PE registration details, including state, certificate number, and dates. Also list all states where you're currently registered as a PE.
  10. Note down any states and types of registration you have applied for but not yet received final notification.
  11. For Education, list all high schools, colleges, and universities attended, including dates and degrees earned. Official transcripts are needed for all listed institutions unless you're submitting an NCEES record.
  12. In the Engineering Experience section, detail all of your work engagements, starting with the earliest. This should be matched with the endorsement forms provided by individuals familiar with your work.
  13. Read the affidavit carefully, affirming that all provided information is true and correct. Choose the appropriate statement regarding your citizenship or legal residence status and provide copies of the relevant documents as described.
  14. Finally, sign and date the application. It must be notarized, so don’t sign it until you’re in front of a notary public.

After you’ve completed these steps, review your application packet to make sure everything is included and accurate. Submit the application along with the non-refundable application fee and all supporting documentation as directed in the application instructions. Upon processing, you’ll be informed of the next steps in the licensure process. Remember, the Georgia State Board of Professional Engineers and Land Surveyors will review your application to ensure you meet all qualifications for licensure in the state.

Obtain Answers on Georgia Pe Comity Application

Frequently Asked Questions (FAQs) about the Georgia PE Comity Application Form:

  1. What is the application fee for the Georgia PE Comity Application, and is it refundable?
  2. The application fee for the Georgia Professional Engineer Comity Application is $70. This fee is non-refundable. It is crucial for applicants to ensure they meet all requirements before submitting their application to avoid any financial loss.

  3. Can I use a P.O. Box for my physical address on the application?
  4. No, a P.O. Box is not acceptable for the physical address requirement. Applicants must provide a physical street address for both the applicant's home and, if applicable, the employer's business. This rule ensures clear and direct mail communication.

  5. What documentation is needed if I hold an NCEES Record?
  6. Applicants who hold an NCEES Record are required to fill out sections 1 through 5 of the Georgia PE Comity Application thoroughly. These applicants do not need to submit endorsements, verification of licensure/exams, or transcripts, as these items are included in the NCEES Record. To proceed, contact NCEES to have your record sent electronically to the Georgia Board for consideration.

  7. What should I do if I have a felony, misdemeanor, or have been found liable in civil court related to my professional conduct?
  8. If you've been convicted or pled nolo contendere, guilty, been given first offender status for a felony, misdemeanor, a crime involving controlled substances, dangerous drugs, DUI, DWI, or have had any professional misconduct, you must provide full documentation explaining the circumstances. The Board will review these documents as part of the application process, which could impact the decision regarding your eligibility for licensure.

  9. If I am not currently registered as a Professional Engineer in the state where I live, will that affect my application?
  10. If you are not registered as a Professional Engineer in your state of residence, you must explain why in section 1 of the application. This situation will not automatically disqualify your application, but the Board considers all factors, including licensure in your home state, as part of their comprehensive review process.

Common mistakes

When applying for a Certificate as a Professional Engineer in Georgia through the comity application, it's important to pay careful attention to detail to ensure the application is completed accurately. Unfortunately, some applicants make mistakes that can delay the approval process. Here are eight common mistakes made on the Georgia PE Comity Application form:

  1. Not providing a physical address as required, and instead listing a P.O. Box. The form distinctly states that a P.O. Box is not acceptable for the physical address.
  2. Forgetting to list all states where the applicant is currently registered as a Professional Engineer. Full disclosure is necessary for the application process.
  3. Failing to provide complete names as desired on the license and as shown on exam records or transcripts, especially if they differ. Consistency and accuracy in name documentation are crucial.
  4. Omitting either the date of certification as an Engineer-In-Training (EIT) or the date of first registration as a Professional Engineer (PE), both of which are critical timelines.
  5. Overlooking the need to sign the application and have the signature notarized in Section 5. This is a mandatory step for the application to be considered complete.
  6. Not including the application fee or submitting an incorrect amount. The required fee is $70 and is non-refundable.
  7. Incorrectly answering or leaving blank questions regarding past convictions, licensure disciplinary actions, or civil liabilities related to engineering or land surveying practices. Full disclosure is required.
  8. Leaving the affiliation information blank or incomplete. Applicants must provide detailed information about their current employer or firm.

Remember, ensuring that all parts of the application are filled out correctly and completely can save time and prevent unnecessary delays in the licensure process.

Documents used along the form

When applying for a Certificate as a Professional Engineer in Georgia through the Comity Application, several additional forms and documents are typically required to ensure the application process is smooth and complete. Understanding these documents is key to successfully submitting your application.

  • NCEES Record: For applicants who are record holders with the National Council of Examiners for Engineering and Surveying (NCEES), this comprehensive record includes educational background, exam scores, and references. It simplifies the application process by providing a centralized record that meets many of the Georgia Board's requirements.
  • Official Transcripts: These are official documents from accredited institutions that list courses, grades, and degrees earned. Transcripts are required for all colleges attended, regardless of whether a degree was obtained. For applicants with degrees from outside the U.S., an evaluation of the foreign degree by an approved provider is necessary unless otherwise stated.
  • Verification of Licensure/Exams: This document confirms that the applicant has passed the Fundamentals of Engineering (FE) exam and the Principles and Practice of Engineering (PE) exam, and shows proof of current licensure as a PE in another state or jurisdiction. It's critical for demonstrating the applicant's qualifications and eligibility for reciprocity.
  • Endorsement Forms: At least five endorsements or references from individuals who can attest to the applicant's engineering experience, including three from currently active Professional Engineers (PEs), are required. These endorsements are crucial for verifying the quality and relevance of the applicant's professional experience.
  • Affidavit by Applicant: This signed document confirms the accuracy of the information provided in the application and affirms the applicant's commitment to abide by the laws and regulations governing the practice of engineering in Georgia. It includes an attestation regarding the applicant's citizenship or legal residency status and is notarized to verify its authenticity.

Each document plays a critical role in the application process, providing the Georgia State Board of Professional Engineers and Land Surveyors with a complete picture of the candidate’s qualifications, legal status, and professional standing. By meticulously preparing and submitting these forms and documents, applicants can navigate the process more efficiently and increase their chances of successful certification in Georgia.

Similar forms

  • Application for Certificate as a Professional Land Surveyor: Both applications involve professionals in related fields seeking licensure in Georgia through the State Board of Professional Engineers & Land Surveyors. Similar to the PE comity application, it requires personal, educational, and professional information, along with an affirmation to abide by state laws and regulations.

  • NCEES Record Application: This application is similar as it also streamlines the licensure process for engineers and surveyors across state lines through comity or reciprocity. Applicants with an NCEES Record, like in the Georgia PE comity application, can bypass providing transcripts, exam verification, and other documentation since the NCEES Record already includes verified credentials.

  • Application for Licensure by Examination for Professional Engineers: This application shares similarities in collecting detailed personal, educational, and professional experience information. However, it is targeted at first-time licensure candidates who must pass the PE exam, unlike the comity applicants who are already licensed in another state.

  • Professional Architect License Application: Similar in structure, this application is for architects seeking licensure, often also requiring proof of education, professional experience, and examinations passed. Both applications also inquire about any criminal history, professional discipline, or licensure denials to ensure the integrity of the profession.

  • Application for Certification as an EIT (Engineer-in-Training): While aimed at earlier career professionals, this application parallels the PE comity form in its requirement for personal information, education background, and a commitment to ethical practice. It serves as a prerequisite step for future PE applicants.

  • Application for Certification as a Professional Engineer by Original Licensure: This document is for engineers applying for their initial PE license directly rather than through comity. It similarly demands detailed personal, educational, and professional data but focuses on assessing the applicant’s competence through the fundamentals and principles & practice exams.

  • Renewal Application for Professional Engineers: Although for a different purpose, renewals require updated personal and professional information, demonstrating continuous licensure and adherence to professional standards. Like the PE comity application, it ensures individuals maintain their qualifications to practice engineering.

Dos and Don'ts

When filling out the Georgia PE Comity Application form, it is crucial to ensure a smooth and successful application process by following best practices and avoiding common pitfalls. Here are some dos and don'ts to keep in mind:

  • Do carefully read all instructions before beginning your application to ensure you understand the requirements.
  • Do provide accurate and complete information for every section. Incomplete applications can delay the process.
  • Do check whether you are eligible to apply by comity and ensure you meet all specified criteria.
  • Do include the application fee of $70, remembering that it is non-refundable, regardless of the application's outcome.
  • Do obtain and prepare all necessary documents in advance, such as college transcripts, NCEES records, and endorsements, to ensure a smooth application process.
  • Don't leave any fields blank. If a section does not apply, indicate with "N/A" or "None" to demonstrate that you did not overlook the question.
  • Don't use a P.O. Box for the physical address section, as it is not acceptable. Ensure you provide a valid street address.
  • Don't forget to sign your application and have your signature notarized. An unsigned application will not be processed.
  • Don't send in your application without double-checking all information and documents for accuracy and completeness. Errors or omissions could result in delays or denial of licensure.

Adhering to these guidelines will help ensure that your application process is as efficient and effective as possible. Remember, thorough preparation and attention to detail are key to successfully obtaining your Professional Engineer license by comity in Georgia.

Misconceptions

When professionals look into applying for the Professional Engineer (PE) license in Georgia through the comity application, they encounter various sections and requirements that might seem daunting at first glance. However, misunderstandings can make this process appear more complicated than it actually is. Here are six common misconceptions about the Georgia PE Comity Application form:

  • Misconception 1: The application fee is refundable if the application is not successful. This is incorrect. The application fee of $70 is non-refundable regardless of the outcome of the application. This fee covers the cost of processing the application and is not contingent on the application being approved.

  • Misconception 2: A P.O. Box is acceptable for the physical address. The form clearly specifies that a P.O. Box is not acceptable for the physical address requirement. Applicants must provide a physical location as their address to ensure they meet the state's verification standards.

  • Misconception 3: NCEES Record holders do not need to fill out the application. Even if an applicant holds an NCEES Record, they are still required to completely fill out sections 1 through 5 of the application. This record simplifies the process by eliminating the need to submit endorsements, verification of licensure/exams, or transcripts, but it does not negate the need to complete the application itself.

  • Misconception 4: You must be currently registered as a Professional Engineer in the state where you live to apply. The form asks if you are currently registered as a Professional Engineer in your state of residence and provides a space to explain if not. This indicates that being registered in your home state is not a strict requirement for applying for comity in Georgia, although it may be a point of interest for the Board.

  • Misconception 5: Any previous criminal history will immediately disqualify you. The application does ask about criminal history, licensure revocation, or civil liabilities related to engineering practice, but it also asks for documentation. This suggests that the Board considers the circumstances of such matters rather than imposing blanket disqualifications.

  • Misconception 6: Only work experience as a PE is relevant. Applicants are asked to list all engagements of engineering experience, indicating that the Board values a complete picture of an applicant's professional history. This broader view can help the Board assess the applicant's competency and readiness to serve as a PE in Georgia.

Understanding the specifics of the Georgia PE Comity Application form can help dispel these common misconceptions, making the process more approachable for applicants. By focusing on the facts and requirements as laid out in the application instructions, engineers can more confidently pursue their professional licensure in the state of Georgia.

Key takeaways

Filling out and using the Georgia PE Comity Application form requires attention to detail and an understanding of the specific requirements and documentation needed. Here are four key takeaways to ensure a smooth application process:

  • Verification of Credentials: Applicants must provide thorough verification of their licensure, including the original PE license and any other professional licenses previously issued by the Georgia Professional Licensing Boards. This also involves submitting official transcripts for each college attended, verification of original licensure as both an Engineer-in-Training (EIT) and a Professional Engineer (PE), and endorsements that attest to the applicant's experience and character.
  • NCEES Record: For those holding an NCEES Record, the application process is streamlined. Such applicants are not required to submit endorsements, verification of licensure/exams, or transcripts separately since these items are included in the NCEES Record. However, it's crucial to contact NCEES to have your record electronically transmitted to the Georgia Board.
  • Documentation of Legal Status and Identification: All applicants are required to affirm their legal status in the U.S. and provide Secure and Verifiable Documents, such as a driver's license or passport, to prove their identity and legal presence. This attestation is part of ensuring compliance with O.C.G.A. § 50-36-1 and helps in verifying the applicant’s eligibility for licensure.
  • Professional History and References: The application demands a detailed accounting of the applicant's engineering experiences and endorsements from at least five individuals, three of whom must be currently active Professional Engineers. These references must not be related by blood or marriage to the applicant and should have personal knowledge of the applicant's engineering experience, reputation, and accomplishments. This portion underscores the importance of professional reputation and the ability to vouch for one’s engineering skills and ethics.

By closely following these guidelines and meticulously preparing your application, you enhance your chances of successfully obtaining a Professional Engineer license by comity in the state of Georgia. It's also advisable to stay updated on any changes to the application process or requirements by frequently checking the Georgia State Board of Professional Engineers & Land Surveyors website or contacting them directly for clarification.

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