Professional Engineer - Reciprocal License


An applicant may qualify for licensure by reciprocity who:
  1. is licensed to practice Professional Engineering in another state, territory of the U.S. or a foreign country, and
  2. a) provides adequate evidence that, at the time the applicant was licensed in the other state, the applicant met qualifications that were equivalent to the requirements then required by the laws of Maryland, or
    b) at the time of the application for a reciprocal license the applicant meets the current requirements governing education, experience and examination.
Full Name:



, -
County:


- - (MM-DD-YYYY)
Place of Birth:

and : ,

:
- -

Do you hold an unexpired license to practice Professional Engineering?  Yes  No
If "Yes", State:      License:
Expiration date: / /

1. Have you ever been convicted of a felony or misdemeanor in any State, District of Columbia or Federal court?
2. Have you ever had this type of license denied, suspended, or revoked by Maryland, any other State or the District of Columbia?
3. Have you been convicted of or received probation before judgment of any drug offense committed after January 1,1991?

 I have Workers Compensation Coverage   Policy/Binder No.

Issued by the  

 I am not an employer required to provide employee coverage under the Workers Compensation Law.


Certification

By pressing "Submit" below:

    I hereby certify, under penalty of perjury, that the information contained herein is true and correct to the best of my knowledge, information, and belief. I further authorize the release of any information contained within this application to an authorized representative of the Department of Labor, Licensing and Regulation for further investigation. I further certify that I have paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller or the Department of Labor, Licensing and Regulation or have provided for payment in a manner satisfactory to the unit responsible for collection.

    I affirm that I have carefully read the laws and regulations set forth in Title 14, Business Occupations and Professions Article, Annotated Code of Maryland, and the Code of Maryland Regulations, Title 09, Subtitle 23. I further affirm that I understand and accept my responsibilities under such laws and regulations.



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