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: - -
E-mail Address:

Required Information:

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?

Certification:

By pressing "Submit" below:



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