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The document outlines the requirements for renewing an OSSF Site Evaluator license, which necessitates holding a concurrent license from specified categories. It includes sections for personal information, license details, and an affidavit certifying the accuracy of the provided information. The document emphasizes the legal implications of misrepresentation and provides contact information for further inquiries.

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How to use or fill out the OSSF Site Evaluator Concurrent License Requirement Affidavit online

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Click ‘Get Form’ to open the OSSF Site Evaluator Concurrent License Requirement Affidavit in our editor.
Begin by entering your Licensee Name in the designated field. Ensure that this matches your official documentation.
Select the Type of Concurrent License you hold from the provided options, such as Designated Representative or Professional Engineer.
Input your Site Evaluator License Number accurately in the corresponding field to verify your credentials.
Provide the Concurrent License Number and ensure it is current and valid for processing your application.
Enter your Site Evaluator License Expiration Date to confirm the validity of your license.
Read through the affidavit statement carefully, then enter your name in the Signature box, which serves as your electronic signature.
Finally, review all entered information for accuracy before submitting the form via our platform.

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Form online 2026

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How to use or fill out the OSSF Site Evaluator Concurrent License Requirement Affidavit online