Forms

You may download and print any of the forms listed below. The Board does not accept electronic document filing. You must sign and date the form and mail it to the address given below. All of the forms are in Adobe Acrobat Portable Document Format. If you do not have Adobe Acrobat Reader, it is available for free.

Instructions for downloading and installing Adobe Acrobat Reader. Most of these forms can be filled out online. Select the "hand" tool from the Acrobat Reader tool bar. Move it to the first blank and the hand will change to a cursor. Type your entry, then tab to the next space and type your information. Important: You must hit either the tab key or the enter key after typing in each blank on the form, or your entry won't be accepted and the information you typed won't print. To use check boxes, move the hand tool over the box and when hand becomes an arrow, click once to mark box. Clicking again will remove mark. Print the form (click on the printer icon on the Adobe Acrobat Reader toolbar or use your Internet browser's print command), sign it, and mail it to the Board office (address below).

• Address Change Affidavit
• Consumer Complaint Form
• Disassociation Notice
• Enforcement Technical Expert Areas of Expertise Form for Civil (including Structural and Geotechnical) Engineers and Land Surveyors
• Enforcement Technical Expert Areas of Expertise Form for Electrical and Mechanical Engineers
• Exam Application Information & Forms
• Exam Design and Multiple-Choice Comment Form - please print a copy and complete by hand or typewriter
• Exam Religious Accommodations Request Form - please print a copy and complete by hand or typewriter - do NOT submit this form to the Board; submit it to the address on the form
• Exam Special Accommodations Request Questionnaire - please print a copy and complete by hand or typewriter - do NOT submit this form to the Board; submit it to the address on the form
• License Verification Form
• Name Change Affidavit
• Organization Record
• Postponement of Examination Request Form
• Replacement Wall Certificate/Pocket ID Card Request Form
• Reporting of Legal Actions Form
• Retired Status Application
• Subject Matter Expert Application Form - please print a copy and complete by hand or typewriter
• Technical Advisory Committee Member Application Form
• Corner Record Form - do NOT submit this form to the Board; submit it to the appropriate county

When completed and signed, forms should be mailed or faxed to:

Board for Professional Engineers and Land Surveyors
2535 Capitol Oaks Drive, Suite 300
Sacramento, CA 95833-2944
Facsimile: (916) 263-2246