Nysed 4 2026

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The document is a form (Form 4) from the New York State Education Department's Office of the Professions, designed for applicants seeking licensure in professional engineering. It outlines instructions for reporting professional experience, including personal information requirements, employment history, and attestation of accuracy. The form also categorizes engineering disciplines and emphasizes the need for accurate documentation of work experience.

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Click ‘Get Form’ to open the nysed 4 document in the editor.
Begin by entering your Social Security Number and Birth Date in the designated fields. If you do not have a U.S. Social Security Number, leave that field blank.
Print your full name exactly as it appears on your application for licensure. Ensure accuracy to avoid any processing delays.
Select whether your mailing address is home or business, and fill in the required address details including city, state, and zip code.
In the Professional Experience section, check the box that corresponds to your engineering discipline.
List all places of employment chronologically, starting with your first job related to the experience claimed. Include firm names, endorser names, dates of employment, and time claimed.
Finally, ensure you sign and date the attestation section before submitting the form directly to the specified address.

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