Poplar Bluff, MO · Butler County

Electrician Exam Application and Experience Affidavit

This application is for people seeking to take Poplar Bluff’s master or journeyman electrician exam; employers may complete and notarize the attached affidavit to verify an applicant’s work history.

Detailed form~25 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Applicants use this three-page form to request a master or journeyman electrician exam and provide information about their licenses, education, training, and work experience. The form asks applicants to attach employer verification letters or have each employer complete and notarize a separate Affidavit of Electrical Experience, which records employment dates, hours, work type, and supervising electrician details.

Who needs it

People applying to take Poplar Bluff’s master or journeyman electrician exam need this application and must provide the requested education, training, and work-history information.

Why it needs a notary

The attached Affidavit of Electrical Experience has a “Subscribed and sworn before me” jurat; the employer signs the affidavit before the notary.

How to get this notarized

  1. 1

    Download The Application

    Get the electrician exam application and attached Affidavit of Electrical Experience from Poplar Bluff.

  2. 2

    Fill Out The Application

    Complete the application and provide the requested license, education, training, and work-history information.

  3. 3

    Book An Online Notary

    If an employer is completing the experience affidavit, book a commissioned online notary for the employer’s jurat.

  4. 4

    Sign On Video

    The employer signs the affidavit during the online notary session and completes the oath or affirmation.

  5. 5

    Submit To The City

    Submit the completed application and required verification documents to the city as directed.

Preview the form

The blank PDF straight from Poplar Bluff. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the electrician exam application?
Fill out the application completely, include the requested license, education, training, and work-history details, and attach the required supporting documents. Employers can complete a separate notarized experience affidavit for each listed employer.
Do I need to notarize the electrician exam application?
The application itself does not show a notary block. The attached Affidavit of Electrical Experience includes a jurat and must be signed by the employer before a notary when used to verify work history.
Can an online notary notarize the experience affidavit?
Missouri authorizes remote online notarization by its notaries under RSMo §486.1100 to §486.1205. An employer may sign the affidavit before a commissioned online notary; confirm with the city or town if unsure.
Where do I submit the completed form?
The form lists the Poplar Bluff Electrical Board as the recipient of the experience affidavit. Contact the city to confirm how and where to submit the completed application and supporting documents.

Ready to notarize your Electrician Exam Application and Experience Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.