Homepage Fill Out Your Georgia Pe Comity Application Form
Article Structure

The Georgia Professional Engineer (PE) Comity Application form serves as a vital instrument for engineers wishing to obtain licensure in the state. Designed for professionals who hold an original PE license from another state, this application guides them through the process of recognition and certification in Georgia. With a non-refundable fee of $70, the form requires comprehensive personal and professional details, including the applicant's name, address, date of birth, and Social Security Number. It also demands information about prior licenses and disciplinary actions that may have occurred in any jurisdiction. Sections of the form specifically address educational background and engineering experience, mandating thorough documentation of prior work history and endorsements from qualified peers. Furthermore, applicants must navigate the nuances of providing their NCEES record if applicable, which may simplify certain requirements. Importantly, the application concludes with an affidavit, affirming that all provided information is accurate, while ensuring compliance with state laws governing professional licensing. By addressing all these aspects, the Georgia PE Comity Application ensures a streamlined path toward licensure for qualified engineers from other states.

Georgia Pe Comity Application Example

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)

Form Characteristics

Fact Name Description
Governing Laws This application is governed by the Georgia Professional Licensing Board rules and O.C.G.A. § 43-15.
Application Fee The application fee for the Georgia PE Comity Application is $70 and is non-refundable.
Name Requirements Applicants must provide the name they wish to appear on their license, along with any variation as shown on official exam records.
Physical Address P.O. Boxes are not acceptable; a physical address is required for all applicants.
NCEES Record NCEES Record Holders do not need to submit additional documentation such as endorsements or transcripts.
Endorsement Requirements Applicants must provide at least five endorsements, three of which should be from licensed Professional Engineers.
Criminal Background Disclosure of any felony or significant misdemeanors is mandatory as part of the application process.
Experience Policy Comity applicants must have a minimum of 60 months of engineering experience, particularly for Structural Engineering.
Signature and Notarization The application must be signed by the applicant and notarized to be considered valid.

Guidelines on Utilizing Georgia Pe Comity Application

Completing the Georgia Professional Engineer (PE) Comity Application is an important step for engineers seeking licensure in Georgia through comity. This process includes gathering necessary information and documents to submit for review. Follow the steps below to ensure that your application is filled out correctly and efficiently.

  1. Obtain the application form: Download the Georgia PE Comity Application form from the Georgia State Board of Professional Engineers and Land Surveyors website.
  2. Fill out your personal information: Complete sections for your name, social security number, date of birth, and contact information. Make sure to clarify the name you wish to show on your license.
  3. Provide your physical and mailing address: Enter both addresses, noting that a P.O. Box is not acceptable for the physical address.
  4. Detail your professional affiliation: Indicate the name of your firm and its address, including any applicable details about your position there.
  5. Complete Sections 1 through 5: This includes general information about your past licenses, educational background, and engineering experience. Be thorough and accurate, as this information is critical.
  6. Address the mandatory questions: Answer the questions regarding past convictions, license sanctions, and whether you hold a current NCEES Record. Provide documentation if necessary.
  7. List your engineering experience: Document your employment history in engineering, including specific details such as dates, roles, and responsibilities in Section 3.
  8. Include educational history: Fill out Section 4 with information about your high school and any colleges or universities attended, noting the degrees earned.
  9. Complete the affidavit: In Section 5, affirm that all information provided is truthful and complete, and include the necessary documentation regarding your citizenship or residency status.
  10. Submit supporting documents: Gather official transcripts, endorsements, and any other required documentation. Ensure they are in sealed envelopes if necessary.
  11. Sign and notarize your application: Make sure you sign the application and have it notarized before submission.
  12. Pay the application fee: Include the non-refundable $70 application fee with your submission.
  13. Submit your application: Mail your completed application, along with all supporting documents, to the Georgia State Board of Professional Engineers and Land Surveyors at the provided address.

After submitting your application, the board will review your materials. Ensure that all information is accurate and complete to avoid delays. If further information is needed, you may be contacted by the board for clarification or additional documentation. Keep track of your submission and follow up if you do not receive confirmation of receipt within a reasonable timeframe.

What You Should Know About This Form

What is the Georgia PE Comity Application form?

The Georgia PE Comity Application form is a document that individuals must complete when applying for a Professional Engineer license in Georgia through comity. This process allows engineers licensed in other states to obtain licensure in Georgia by demonstrating that their qualifications meet the state's standards.

What is the application fee for the Georgia PE Comity Application?

The application fee for the Georgia PE Comity Application is $70. This fee is non-refundable, meaning that applicants will not receive a refund if they decide to withdraw their application or if their application is denied.

What information do I need to provide in the application?

Applicants must provide several details, including their full name, social security number, date of birth, physical and mailing addresses, telephone numbers, and email addresses. Additionally, they will need to disclose their engineering experience, educational background, and any prior licenses they hold or have held.

Do I need to submit any supporting documents with my application?

Yes, applicants are required to submit supporting documentation. This may include official transcripts from colleges attended, verification of licensure from other states, endorsements from professional engineers, and evaluations of foreign degrees if applicable. If you hold an NCEES record, certain documents can be omitted, as the record is considered comprehensive.

What is the NCEES record, and who needs it?

The NCEES record is a compilation of an engineer's academic and professional credentials maintained by the National Council of Examiners for Engineering and Surveying (NCEES). If you are an NCEES record holder, you are required to fill out sections one through five of the application but do not need to submit additional verification of your licensure or transcripts, as these are included in the record.

Can I apply for the Georgia PE License if I have had a prior conviction?

Yes, you can apply for the Georgia PE License if you have had a prior felony or misdemeanor conviction. However, you must disclose this information on your application and provide any relevant documentation. The Board will review these disclosures to determine eligibility on a case-by-case basis.

What happens if my application is incomplete?

If your application is incomplete, the Georgia State Board of Professional Engineers and Land Surveyors may delay the processing of your application. It is crucial to ensure that all sections of the application are completed, all required documents are included, and you have signed the application where indicated.

How long does the application process take?

The time it takes to process a Georgia PE Comity Application can vary. After submission, the Board reviews applications and supporting documents. Applicants can generally expect to wait several weeks to months for a decision, depending on the volume of applications and the workload of the Board.

Is there a specific branch of engineering I need to indicate in my application?

Yes, applicants must specify the branch of engineering they propose to practice in Georgia and identify any special branches of engineering for which they have previously been examined. This information assists the Board in determining whether your qualifications align with Georgia’s licensing requirements.

Common mistakes

Completing the Georgia PE Comity Application can be a crucial step in advancing your engineering career, yet many applicants fall prey to common errors that could delay or derail their applications. Understanding these pitfalls can help ensure your application is processed smoothly.

One frequent mistake is failing to provide a complete mailing address. The application specifically states that P.O. Box addresses are not acceptable for the physical address, but many applicants overlook this detail. It's essential to provide a complete and valid street address, as any ambiguity can lead to complications in communication with the board.

Inadequate documentation is another prevalent issue. Applicants sometimes neglect to provide required verification of licensure from both current and past states. If you're licensed in another state or have a history with multiple licensing boards, make sure all necessary documents are bundled with your application. Failing to include these can significantly slow down the review process.

Another common error involves inaccurate record-keeping of endorsements. The application mandates at least five endorsements from qualified individuals, three of whom must be active PEs. Applicants often overlook the requirement that endorsers must not be related by blood or marriage. Confirming the qualifications of your endorsers is essential to avoid application delays.

Providing inconsistent personal information is also a pitfall. For instance, if you have changed your name, you must disclose this and explain the reason for the change. Failing to note any differences between how your name appears on official documents compared to your application can raise red flags during the review process.

Additionally, many applicants forget to complete all segments of the form. Specifically, sections one through five must be fully filled for non-NCEES Record Holders. Taking the time to ensure that all parts of the application are completed can save you from unnecessary back-and-forth communication with the board.

Lastly, neglecting to notarize the application can lead to immediate rejection. Many applicants do not realize the importance of this step until it is too late. Ensure that you have your affidavit signed and notarized to validate your application finally. Appropriate attention to these details will enhance the likelihood of a smooth and successful application process.

Documents used along the form

When applying for the Georgia PE Comity Application, there are several additional forms and documents that you may need to submit along with your application. Understanding these requirements ensures that you provide thorough and accurate information, which can streamline the process and avoid delays.

  • Official Transcripts: Applicants must submit official transcripts from all institutions attended, regardless of whether they graduated. This requirement ensures that the Board has accurate information regarding your educational background.
  • NCEES Record: If you hold a current NCEES Council Record, you can submit it in lieu of endorsements and verification documents. This record includes verification of your engineering experience, exams, and licensure across different states.
  • Verification of Licensure: This document must verify the original exam and licensure for both Engineer-in-Training (EIT) and Professional Engineer (PE) statuses. If you’re licensed in a state other than Georgia, you’ll need to provide verification from that state as well.
  • Endorsement Forms: You are required to gather endorsements from at least five individuals. These references must include three licensed Professional Engineers who are not related to you and can attest to your engineering qualifications and experience.
  • Foreign Degree Evaluation: If you earned your degree outside the United States, an evaluation from an approved provider is necessary to confirm that your education meets U.S. standards. If you do not want to have your degree evaluated, a letter stating your choice must be submitted.
  • Secure and Verifiable Documents: At least one secure document such as a driver’s license or passport is required to attest to your identity and legal status. This is crucial for compliance with state regulations.
  • Affidavit by Applicant: This section requires your sworn statement affirming that all provided information is true and accurate. It includes your acknowledgment of Georgia’s laws and regulations regarding professional engineering.

By carefully gathering and submitting these additional documents along with your Georgia PE Comity Application, you fortify your application and enhance your chances for a smooth review process. Pay close attention to each requirement, as meticulousness will be key in navigating this important professional milestone.

Similar forms

  • Professional Engineer License Application: Similar to the Georgia PE Comity Application, this form is used to apply for an initial license. It includes basic personal information, professional background, and education, ensuring that all applicants meet the state's requirements before granting a license.
  • Reciprocity Application: This document allows engineers licensed in one state to obtain licensure in another. Like the Georgia PE Comity Application, it requires proof of existing licensure, work experience, and educational qualifications, aiming to streamline the licensing process across states.
  • Engineering Intern Application: This application is for those seeking to become an Engineering Intern (EIT). It mirrors the PE Comity Application in terms of collecting educational history and personal details but focuses on initial certification rather than full licensure.
  • License Renewal Application: Engineers must periodically renew their licenses. This application involves verifying current professional status and compliance with continuing education requirements. It shares similarities in information requested, emphasizing the importance of maintaining qualifications.
  • Verification of Licensure Form: Used to confirm a licensure status, this form parallels the PE Comity Application's need for documentation of existing licenses. Both require sufficient detail about the license holder, including disciplinary action records, if any exist.
  • Application for Advanced Licensure: Engineers with specialized qualifications may opt for this application. Echoing the structure of the PE Comity Application, it collects background information, skill sets, and proof of expertise in specific areas of engineering.
  • Application for Temporary Licensure: For engineers seeking to practice temporarily in a new state, this form requests similar personal and professional data. It serves as a provisional measure while the applicant pursues full licensure through the standard process.

Dos and Don'ts

  • Do read the entire application form carefully before filling it out. Understanding all sections and requirements helps prevent mistakes.
  • Don't leave any sections blank. Each part of the form must be completed in order to process your application efficiently.
  • Do provide accurate and truthful information. It is crucial not to misrepresent your credentials or experience, as this can lead to serious consequences.
  • Don't forget to sign and notarize your application. This step is necessary for your application to be considered valid and complete.

Misconceptions

  • Misconception 1: The Georgia PE Comity Application is an easy, quick process.
  • In reality, filling out the application requires careful attention to detail. Many sections need complete and accurate information. It can take time to gather all necessary documents and endorsements.

  • Misconception 2: You can use a P.O. Box for your physical address.
  • This is not correct. The application specifically states that a P.O. Box is not acceptable as a physical address. Applicants must provide a valid street address where they can be reached.

  • Misconception 3: If you hold an NCEES Record, you don’t need to complete any sections of the application.
  • This is misleading. NCEES Record Holders still must fill out sections 1 through 5 of the application, even though they don’t need to submit additional documentation like endorsements or transcripts.

  • Misconception 4: There are no strict requirements for endorsements.
  • This is untrue. Applicants must have at least five endorsements from individuals who can speak to their work experience. At least three of those endorsements need to come from currently active Professional Engineers who are not related to the applicant.

Key takeaways

Filling out the Georgia PE Comity Application form is a critical step for professionals looking to gain licensure in the state. Here are some key takeaways to ensure a smooth application process:

  • Application Fee: A non-refundable fee of $70 is required when submitting your application.
  • Accurate Information: Ensure all personal and professional details are correct and match your official documents.
  • NCEES Records: If you hold an NCEES Council Record, you must request it to be sent electronically to the Georgia Board.
  • Complete Sections: Fill out Sections 1 through 5 completely, especially if you do not have an NCEES Record.
  • Documentation: Include necessary supporting documents such as transcripts and verification of licensure.
  • Endorsements Required: Obtain at least five endorsements from qualified individuals, including three active Professional Engineers.
  • Signature Requirement: Your application must be signed and notarized to be considered valid.
  • Physical Address: Use a physical address instead of a P.O. Box for application processing.
  • Criminal Background: Be honest about any past legal issues; disclosure is essential for the review process.
  • Review Application: Before submission, double-check your application for completeness to avoid delays.

Following these guidelines will help streamline your application experience. Ensure you gather all necessary information and documentation ahead of time to facilitate a successful submission.