Journeyman & Master PlumberCertification Application

Please check one:
UPC Code: 2018 UPC

Applicant Information
Add For Individuals requesting to take an examination at a Prometric Center, there will be an additional ninety dollar ($90.00) processing fee.
Name:
Address:
City:
State:
Zip:
Phone Number:
SSN # (Last 6 Digits):
Email Address:
Notifications:

Test Choice Choose ONE:
Email Address (Required for Computer Testing):
For Individuals requesting to take an examination at a Prometric Test Center there will be an additional ninety-dollar ($90.00) processing fee. Exams given at Prometric Test Centers require that an email address be provided. You will receive an e-mail confirmation with your login information to schedule the exam date and time. Send $215.00 fee with this application for Computer Lab exams to NITC. Candidates may reschedule or cancel 30 days prior to the appointment with no fee. Candidates who reschedule or cancel within 5-29 days will be charged a $35 fee. Candidates rescheduling or cancelling less than 5 days prior will be charged a $50 fee and must contact NITC to obtain a new eligibility. Submit application via email: nbopecerts@nationalitc.com, fax: (213)351 - 7632 or mail: NITC, 501 Shatto Place, Suite #201, Los Angeles, CA 90020.
Test Date Requested (See Candidate Bulletin for available dates only):
Have you taken this exam on a previous date?:
If yes, Date:

AFFIDAVIT OF EXPERIENCE

Journeyman: Minimum four (4) years in a state registered, accredited apprenticeship or 8,000 hours of substantiated experience in the plumbing trade.

Master: One (1) year or 2,000 hours holding a current Nevada Journeyman License in good standing.

This form is intended to be used for compiling verifiable hours in order to take the Journeyman or Master Plumber Certification Exam. All journeyman applicants shall provide proof of employment in the plumbing industry. Each Journeyman applicant shall have a minimum of four (4) years in a state registered, accredited apprenticeship or 8,000 hours of substantiated experience in the plumbing trade. All master plumber applicants shall have proof of holding a current and in good standing NBOPE Nevada Journeyman Plumber License for a period of 1 year or 2,000 hours.

The following verification must be completed by a plumbing contractor. Alternate methods of emplo1yment verification include the following: letters of employment verification from plumbing contractors on their company letterhead only, and copies of past W-2s.

I:
Affirm and certify that:
Has been employed by:
From:
To:
Name:
Signature:
NOTE: Journeyman and Master Licenses can be revoked if any fraudulent information is given on the Affidavit of Experience.
Subscribed and sworn before me on the (date):
Notary Public in and for the state of:
Residing in (county):
My commission expires on:
Notary Signature: