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Electrical Contractor Registration

  1. Instructions to Applicant:

    • Complete this Application for Electrical Registration and return to the City Clerk’s Office at 208 S. Rapp Ave., Columbia, IL 62236, or email to junger@columbiaillinois.com or returned by fax at (618) 281-5477.
    • Minimum Requirements: Two years formal instruction or 4 years (8,000 hours) construction work experience.
    • The office of the Electrical Inspector will contact the applicant.
    • The current registration fee is $25.00 to be paid at the City Clerk’s Office by cash, by check (payable to the City of Columbia), or online by credit/debit at www.columbiaillinois.com. (The online option has an additional fee of $1.50.)
    • Annual registration fees due May 1 are required to maintain registration. If an electrical contractor fails to pay the registration fee for 2 or more consecutive years, the registration will be revoked and the contractor will have to complete the entire application process to regain registration.

  2. Company Information

  3. Applicant Information

  4. Have you ever carried an electrical license? *

  5. Are you registered as an electrical contractor in any other city? *

  6. Was the license or registration obtained by examination? *

  7. Have you ever had an electrical license or registration revoked?*

  8. If the items below are not completed we will not be able to complete your registration. Please complete all areas, in full, to the best of your ability.

  9. PART I: Schooling and formal instruction directly related to electrical theory and practical applications involving electrical wiring and equipment.

  10. A. Vocational or Trade School

  11. B. College Training

  12. C. Military Training

  13. D. Other

  14. Are you familiar with the National Electrical Code?

  15. Part II: Construction Work Experience

  16. A. Owner or Office of an Electrical Contracting Company

  17. B. Supervisor/Foreman

  18. C. Apprentice on Job Training

  19. D. Approximate years experience in the following types of work.

  20. NOTE: The City of Columbia Electrical Board Reserves the right to verify your work experience by examination, written or oral.

  21. By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.*

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  23. This field is not part of the form submission.