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Affidavit of Experience for 75% Supervision Specialities (F500-043-000). Affidavit of Experience for 75% Supervision Specialities (F500-043-000) 2026

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The document is an Affidavit of Experience for 75% Supervision Specialties, required for electrical licensing in Washington. It outlines the process for submitting work experience affidavits, emphasizing the need for accuracy and adherence to specific regulations. Each affidavit must cover distinct time frames of work under supervision, and it includes details on acceptable categories of electrical work and necessary documentation for out-of-state experience.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name as the Administrator, Master Electrician, or Authorized Electrical Contractor’s Representative at the top of the form.
Fill in the trainee's name and their Training Certificate or Social Security Number accurately.
Provide the name of the company or training program where the trainee worked.
Indicate the UBI or License Number associated with your company.
Specify the time frame during which the trainee worked under supervision, ensuring it does not exceed 24 months.
Detail the number of hours worked in each category listed, ensuring they align with WAC regulations.
Sign and date the affidavit in front of a notary public, ensuring all information is accurate to avoid penalties.

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