Propane Gas Fitters Original Certificate, Initial Application


License Description/Selection:

Providing Propane Gas Services means to install, repair, service, and replace propane gas piping, propane gas utilization equipment, and associated accessories.

I am applying for a Propane Gas Fitter Certificate under:
Option 1: I hold a current certificate of completion of the National Propane Gas Association Certified Training Program for Distribution Systems Operations.
Option 2: I hold a gas fitters license from a county or municipal corporation AUTHORIZING THE INDIVIDUAL TO PROVIDE PROPANE GAS SERVICES under a licensing program that is in existence prior to July 1, 1995 and that is acceptable to the Board
Option 3: I am able to demonstrate qualifications that are satisfactory to the Board and that are at least equivalent to the qualifications required by the National Propane Gas Association Certified Training Program for Distribution Systems Operation.

Personal Information:

Name:


Mailing Address:
City, State, Zip: , -
County:
Social Security
Number:
Date of Birth: - -
Place of Birth:
I was born in the United States
  City and State: ,
I was born outside the United States
  City and Country:
Daytime Phone Number: - -
Fax Number: - -
Personal E-mail Address:
Business E-mail Address: (Optional)

You may, if you so choose, use the same email address in both fields presently designated for “Business Email Address” and “Personal Email Address”. However, please note that your business address may be released upon the request from a third party. Your personal email address will only be used for the purposes of communications from DLLR. In addition, if you wish to omit your business email address from the lists of licensees that from time to time DLLR makes available to third parties, you must notify us in writing or you can opt out by leaving your business email address blank. You may send your Opt out notice to dlopl-dllr@maryland.gov


Required Information:

Have you ever:
1. Been convicted of a felony or misdemeanor in any State or Federal Court?
2. Had this type of license, certificate, registration, or permit denied, suspended, or revoked by Maryland or any other jurisdiction?

Certification:

By pressing "Submit" below:




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