Homepage Free Georgia Pe Comity Application Template in PDF
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The Georgia Professional Engineer Comity Application is a comprehensive document designed for engineers seeking to practice in Georgia through the principle of comity, or reciprocity, with other states. Individuals who have already been licensed as a Professional Engineer (PE) in another jurisdiction can apply for a Georgia PE license without having to undergo the examination process again, provided their qualifications meet Georgia's standards. This application encompasses a wide array of information, starting with the $70 non-refundable application fee and encompassing details regarding additional licenses, method of license acquisition, personal information such as social security number, date of birth, and contact details, alongside professional affiliations. It delves further into the legal and professional background of the applicant, investigating any past convictions, licensure revocations, or misconduct in professional practice. Moreover, the form requires detailed documentation of the applicant's education, licensure history, including where and when they were first licensed as a PE, examinations taken, and current registrations in other states. Applicants who are holders of the NCEES Record have a streamlined process since they are exempt from submitting individual endorsements, exam verifications, or transcripts, making their application process slightly less laborious. The document concludes with a solemn affirmation by the applicant regarding the truthfulness of the information provided and adherence to state laws and regulations, underscored by a notary public's certification. This rigorous application process underscores Georgia's commitment to ensuring that only qualified professionals practice engineering within its borders, maintaining high standards of safety, ethics, and professional conduct.

Form Sample

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)

File Overview

Fact Name Description
Governing Body Georgia State Board of Professional Engineers & Land Surveyors
Application Fee $70 (non-refundable)
License Type on Application Professional Engineer
Comity Application Requirement NCEES Record Holders must fill Sections 1 through 5; endorsements, verification of licensure/exams or transcripts are not required for them as those are included in the NCEES Record.
Documentation for Non-NCEES Record Holders Official transcripts, evaluation of foreign degrees, verification of original EIT and PE licensure, endorsements, and notarized signature.
Legal Affirmation by Applicant Applicants must affirm to truthfulness, understanding of state laws and rules, and provide a status declaration regarding U.S. citizenship or legal residency.

Guide to Using Georgia Pe Comity Application

Filling out the Georgia PE Comity Application is an essential step toward becoming a licensed Professional Engineer in Georgia through the comity (reciprocity) process. This streamlined approach is designed for engineers who are already licensed in another state and wish to practice in Georgia. Before you begin, gather all required documents, including proof of your original licensure as a Professional Engineer, any existing NCEES records, college transcripts, and documentation of your work experience. Ensure you have access to a printer and a scanner, as you will need to print the completed form for notarization before submission, and scan any supporting documents that are required as part of your application package.

  1. Start by paying the $70 non-refundable application fee, which is a prerequisite for processing your application.
  2. Under "License Type," check the box for "PROFESSIONAL ENGINEER" to specify the type of license you’re applying for.
  3. If you have additional licenses issued by Georgia Professional Licensing Boards, list them under "Additional License Types."
  4. Select "Comity" as the method obtained for the license you are applying for.
  5. Fill in your name as you desire it to appear on your license and if different, also provide the name as shown on your exam records or transcripts.
  6. Provide your Social Security Number, Date of Birth, and both Physical and Mailing Addresses (Note: P.O. Boxes are not accepted for Physical Address).
  7. Enter your contact information including Telephone Day, Telephone Evening, and E-Mail Address. Add your affiliation details, including the name and address of your firm.
  8. For Section 1, provide General Information as requested, including your preferred address, Social Security Number, Birthplace, Date of Birth, Business Phone, Home Phone, and answer all questions regarding your legal background and licensure history.
  9. In Section 2, detail your Registration Information, including EIT and PE Certificate Numbers, Dates of Certification, and list the states where you are currently registered as a PE.
  10. In Section 3, outline your Engineering Experience, including your employment history, highlighting your roles, responsibilities, and the duration of each position.
  11. Document your Educational Background in Section 4, including High Schools, Colleges, and Universities attended, major fields, and degrees earned. If you're an NCEES Record Holder, you can skip providing detailed transcripts.
  12. In Section 5, the Affidavit must be carefully read. After confirming that all information provided is accurate and abiding by Georgia's laws and regulations, sign the Affidavit in front of a Notary Public.
  13. Finally, review your application, make sure it's signed and notarized, and gather all the necessary supporting documents. Bundle these together and mail them to the Georgia State Board of Professional Engineers & Land Surveyors for processing.

Remember, the accuracy and completeness of your application are vital for a smooth approval process. Keep copies of all documents for your records. Once your application package is received, the board will review your qualifications to determine your eligibility for licensure in Georgia. This process can take several weeks, so be patient but keep an eye out for any correspondence from the board regarding the status of your application.

Obtain Clarifications on Georgia Pe Comity Application

  1. What is the application fee for a Certificate as a Professional Engineer in Georgia, and is it refundable?

    The application fee for a Certificate as a Professional Engineer in Georgia is $70. This fee is not refundable.

  2. Can I apply for a professional engineer license in Georgia if I am already licensed in another state?

    Yes, individuals who are already licensed in another state can apply for a professional engineer license in Georgia by comity. Applicants must complete the application form, indicating the license type they are applying for and the state of their original professional engineer license.

  3. What documentation is required for engineers applying by comity who hold an NCEES Record?

    Engineers applying by comity who hold an NCEES Record are required to fill out sections 1 through 5 of the application form. They are not required to submit endorsements, verification of licensure/exams, or transcripts, as these items are part of the NCEES Record. They must contact NCEES to have their record sent electronically to the Georgia Board for consideration.

  4. What if I do not hold an NCEES Council Record?

    If you do not hold an NCEES Council Record, you will need to send additional supporting documentation with your application. This includes official transcripts from each college attended, evaluation of foreign degree (if applicable), verification of original exam/licensure of both the EIT and PE, and endorsements for all experience listed in Section 3. All supporting documentation must be sent in sealed envelopes with the back flap signed to ensure no tampering.

  5. Are there any specific requirements for Comity applicants who propose to practice Structural Engineering in Georgia?

    Yes, Comity applicants who practice or propose to practice Structural Engineering in Georgia and have taken the PE exam in a discipline other than Structural are required to have a minimum of 60 months of Structural engineering experience after successful examination acceptable to the Board at the time of application.

Common mistakes

Completing the Georgia PE Comity Application form requires attention to detail and a thorough understanding of the requirements. However, applicants often make mistakes that can delay or impact the success of their application. Here are the top ten mistakes to avoid:

  1. Not checking the box that indicates whether the applicant is applying by comity or original license. It's crucial to specify the method obtained to process the application correctly.
  2. Entering different names on the application without explanation. If the name on the license desired and the name on exam records or transcripts don't match because of a legal name change, applicants must provide documentation.
  3. Providing a P.O. Box as the physical address. The application specifically states that a P.O. Box is not acceptable for the physical address, yet this is a common oversight.
  4. Forgetting to list additional license types. Applicants often overlook the section that asks for any additional licenses currently or previously issued by the Georgia Professional Licensing Boards.
  5. Not providing endorsements or verification of licensure/exams or transcripts for non-NCEES Record Holders. The NCEES Record simplifies this process, but without it, these documents are required and often missed.
  6. Failing to have their signature notarized. This oversight can invalidate the entire application, as the notarized signature is crucial for verifying the applicant's identity and the integrity of the application.
  7. Omitting contact information for their current employer or the firm they are affiliated with. This information is essential for the application's background checks and verifications.
  8. Leaving the section about any previous convictions or disciplinary actions on licenses unanswered or not providing required documentation if the answer is "yes." This lack of transparency can lead to issues with the application review process.
  9. Incorrectly or incompletely filling out the section regarding engineering experience, including the endorsement forms that correspond to this section. Each engagement listed must be described on an endorsement form by someone familiar with the applicant's work.
  10. Not specifying which branch of engineering they propose to practice in Georgia. This specification is necessary for the board to evaluate if the applicant's qualifications match the requirements of the intended engineering practice area.

Avoiding these mistakes can greatly streamline the application process, leading to a smoother path toward obtaining a Professional Engineer license in Georgia.

Documents used along the form

Applying for a Professional Engineer license in Georgia through comity involves several steps and requires multiple forms and documents beyond the initial application. Each document plays a crucial role in validating the applicant's credentials and ensuring they meet the state's requirements for licensure.

  • NCEES Record: This document includes a comprehensive history of the applicant's licensure, examination scores, education, and professional experience. It's particularly useful for applicants who are already licensed in another state and streamlines the comity application process.
  • Transcripts: Official transcripts from all post-secondary institutions attended by the applicant are required. These documents verify the applicant's educational background, degrees earned, and that the coursework meets the Board's standards.
  • Evaluation of Foreign Degree: If the applicant earned their degree outside the United States, an evaluation from an approved provider is needed. This evaluation ensures the degree meets the U.S. standards for engineering education.
  • Verification of Licensure/Exams: This consists of official documents that verify the applicant's initial licensure as an Engineer Intern (EI) or Engineer-in-Training (EIT) and Professional Engineer (PE) license. It also includes verification of any licensure exams taken.
  • Endorsement Forms: Applicants are required to submit endorsements from individuals familiar with their engineering experience. This includes at least three endorsements from currently active PEs. These endorsements serve as professional references attesting to the applicant's engineering competence and character.
  • Documentation of Name Change (if applicable): If the applicant has undergone a legal name change since birth due to marriage, divorce, or any other reason, legal documentation of this change must be provided.
  • Criminal and Disciplinary History Documentation: If the applicant has a history of criminal charges, convictions, or disciplinary actions by any licensing board, detailed documentation and explanations of these incidents must be submitted.

Collecting and submitting these documents alongside the Georgia PE Comity Application form ensures that the Georgia State Board of Professional Engineers and Land Surveyors has all the necessary information to assess the applicant's qualifications for licensure. Adhering to this comprehensive approach facilitates a smoother application process, helping applicants achieve their professional licensing goals.

Similar forms

  • The Application for License by Endorsement in other professional fields, such as nursing or law, shares similarities with the Georgia PE Comity Application form. Both require detailed personal information, proof of initial licensure in another state, and verification of credentials. They also necessitate acknowledgment of disciplinary actions and legal attestations to ensure the applicant's good standing and eligibility for licensure by endorsement.

  • Professional Certification Application forms, often used for teachers, accountants, or IT professionals seeking certification within their respective fields, mirror the structure and requirement for detailed educational and professional experience. They request transcripts, proof of prior certification or licensure, and endorsements or references from professionals within the field, emphasizing the applicant’s competency and preparedness for certification.

  • The National Council of Examiners for Engineering and Surveying (NCEES) Record Application closely aligns with the Georgia application by allowing engineers to establish a comprehensive record of their professional credentials and experience for facilitating licensure across state lines. Both call for personal information, documentation of education and licensure, and a detailed summary of engineering experience, albeit NCEES offers a more standardized format for national use.

  • Foreign Credential Evaluation Request Forms are required for professionals who attained their degrees outside the United States and seek recognition of their qualifications in the U.S. Like the Georgia PE Comity Application, these forms require extensive documentation of the applicant’s educational background, including official transcripts and evaluations of foreign degrees, highlighting the level of detail needed to assess equivalency to U.S. standards.

  • The Bar Examination Application for attorneys is another document, which, like the Georgia PE Comity Application, has strict requirements for personal information, education, previous licensure, and moral character. Both applications include questions about criminal history or disciplinary actions in other professions to assess the candidate's integrity and compliance with professional standards.

  • Medical Licensure Application forms required by state medical boards for physicians seeking to practice medicine in a new state. These applications are parallel to the Georgia PE Comity Application in requiring detailed disclosures of medical education, residency, fellowships, licenses held in other states, and any disciplinary history. They ensure candidates meet the professional and ethical standards necessary for patient care.

Dos and Don'ts

When embarking on the journey of filling out your Georgia PE Comity Application, it’s crucial to approach the process with accuracy and attention to detail. To guide you properly, here’s a practical list of things you should and shouldn’t do:

Things You Should Do:

  • Double-check all personal information for accuracy, including your name, Social Security Number, and contact details. Ensuring this information is correct is critical for the accuracy of your license and future correspondence.
  • Provide a complete history of your engineering experience, education, and any previous applications to the Georgia Board. Detailed records support your qualifications for licensure.
  • Include all required documentation, such as transcripts, verification of licensure/exams, and endorsements. These validate your credentials and experience, making a strong case for your application.
  • Ensure your application is signed and notarized. This step is essential for the application to be considered valid and legally binding.
  • Use the Preferred Address for all correspondence, ensuring you receive all notifications and communications in a timely manner.
  • Contact NCEES to send your record electronically to the GA Board if applicable. This simplifies the submission of verifications and transcripts.

Things You Shouldn’t Do:

  • Avoid leaving any sections incomplete. Incompleteness can delay the processing of your application or result in it being deemed invalid.
  • Don’t forget to check the box regarding your legal status in the U.S., and ensure that you attach the correct legal documents as required. This is crucial for complying with legal requirements.
  • Avoid using a P.O. Box for your Physical Address. The application requires a physical address to meet certain regulatory requirements.
  • Don’t provide outdated contact information. Ensuring your contact details, especially your email and phone numbers, are current, helps avoid miscommunications.
  • Resist the urge to submit without proofreading. Spelling mistakes or other errors can cause unnecessary delays or inaccuracies in your record.
  • Don’t hesitate to provide complete disclosure on any past convictions or disciplinary actions. Being transparent can help your application process more smoothly.

Approaching the Georgia PE Comity Application with care not only reflects your professionalism but also facilitates a smoother licensure process. Paying attention to these dos and don'ts will steer you towards a successful application outcome.

Misconceptions

Applying for a Professional Engineer license in Georgia through the Comity Application often leads to misconceptions. Misunderstanding the process could delay your application or affect your chances of success. Let's clear up some common misunderstandings about this form:

  • Every applicant must submit transcripts and endorsements personally: Not necessarily. If you hold an NCEES Record, Georgia's Board does not require you to submit endorsements, verification of licensure/exams, or transcripts because this information is included in your NCEES Record.

  • The application fee is refundable if your application is not approved: The application fee of $70 is non-refundable, regardless of the application outcome. This is a standard practice across many licensing boards to cover the administrative cost of processing applications.

  • Physical and mailing addresses can be the same P.O. Box: The application specifically requires a physical address and will not accept a P.O. Box for this purpose. This requirement ensures that the Board has a verifiable location for the licensee.

  • A social security number is optional for the application: A social security number is mandatory for the application. It's used for identification purposes and is part of the requirements for most state licensing applications due to legal stipulations.

  • International applicants with foreign degrees do not need an evaluation: If your bachelor's degree is from outside the U.S., you must have it evaluated by an approved provider unless you indicate otherwise by sending a letter. This ensures that your education meets the Board's standards.

  • You can apply without specifying which branch of engineering you practice: The application requires you to specify your practice area. This information helps the Board understand your professional background and ensure you're qualified in your specific engineering discipline.

  • If you are licensed in another state, you don't need to complete all sections of the application: Even if you are licensed elsewhere, you must complete all relevant sections of the application. This comprehensive approach helps the Georgia Board assess your qualifications and ensure public safety.

Understanding these key points about the Georgia PE Comity Application can streamline your application process, ensuring you provide all necessary information correctly and comprehensively.

Key takeaways

When pursuing the path of becoming a Professional Engineer in Georgia through Comity, navigating the complexities of the application process can be challenging but manageable with the right understanding. Here are four key takeaways about filling out and using the Georgia PE Comity Application form:

  • Diligence is Key: Every section of the application must be completed thoroughly. Paying special attention to ensuring that your names—both as desired on the license and as shown on exam records or transcripts—are accurately filled out will avoid processing delays. Remember, inconsistencies in identification could obstruct the application's progress.
  • NCEES Record Holders Have a Streamlined Process: If you hold an NCEES Record, you're in luck as it exempts you from submitting endorsements, verification of licensure/exams, and transcripts individually. This means your path through sections 1 to 5 of the application is smoother. However, it is imperative to contact NCEES to have them electronically transmit your record to the Georgia Board for review. This streamlined process is designed to facilitate a more efficient verification of your credentials.
  • Preparation of Support Documents: For applicants without an NCEES Record, a considerable amount of supplementary documentation is required. This includes official transcripts for each college attended, evaluations for foreign degrees, verification of original licensure, and endorsements of your work experience. Gathering these documents early and ensuring they are sent in sealed envelopes can significantly reduce the risk of delays in the application process. It's crucial to remember that some documents need to be directly sent by the issuing agencies or individuals to the Board, making early coordination essential.
  • Understanding the Affidavit: The application's affidavit section is not to be overlooked. By signing it, you affirm that all provided information is accurate and that you comply with the state's laws, rules, and regulations. Moreover, it entails affirming your legal status in the United States, which is an indispensable part of the application. Failing to accurately complete this section can lead to disciplinary actions or even legal repercussions. Therefore, a careful review of this section before signing is crucial.

Engaging with the Georgia PE Comity Application process with these key takeaways in mind will prepare you for a more successful submission. It's about more than just filling out a form; it's a step towards advancing your professional engineering career in Georgia with integrity and attention to detail.

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