How do I submit the Electrician’s License Application?

Submit it to the Incorporated Village of Mineola Building Department at 155 Washington Avenue, Mineola, NY 11501. The form also lists a $350 charge plus $5 for each vehicle.

What documents does the application list?

It lists a 2-inch by 2-inch photo, driver’s license and vehicle registration copies, current insurance proofs, and a Certificate of Competency with a paid license from the same municipality.

What insurance wording does the form require?

The form says Mineola must be listed as certificate holder on liability, workers’ compensation, and disability insurance, and as additional insured on liability insurance.

Mineola, NY · Nassau County

No notary required

Electrician’s License & License Renewal Application

Electricians use this Mineola application to apply for or renew a license and provide business, vehicle, insurance, and competency information.

What this form is

This application is for electricians seeking a Mineola license or license renewal. It asks for electrician and company contact details, lists required supporting documents, and includes a certification for the applicant’s signature. The form lists a $350 charge plus $5 for each vehicle and specifies insurance wording for the Village of Mineola.

Who needs it

Electricians applying for or renewing a Mineola license need to complete this application and provide the listed supporting documents.

How to submit it

Submit the application to the Incorporated Village of Mineola Building Department, 155 Washington Avenue, Mineola, NY 11501. The form lists a $350 charge plus $5 for each vehicle.

About notarization

This application has no notary block; the applicant signs and dates it, and no sworn or notarized attachment is listed.

How to submit this form

1
Download The Application
Download the Electrician’s License & License Renewal Application.
2
Complete The Application
Enter the electrician’s and company’s contact information, then sign and date the certification.
3
Gather Required Documents
Collect the photo, identification and vehicle records, insurance proofs, and competency certificate and paid license listed on the form.
4
Submit To The Building Department
Submit the application to the Mineola Building Department at 155 Washington Avenue, Mineola, NY 11501.

Frequently asked questions

Do I need a notary for the Electrician’s License Application?: No. The application has no notary block; the applicant signs and dates it, and no sworn or notarized attachment is listed.
How do I submit the Electrician’s License Application?: Submit it to the Incorporated Village of Mineola Building Department at 155 Washington Avenue, Mineola, NY 11501. The form also lists a $350 charge plus $5 for each vehicle.
What documents does the application list?: It lists a 2-inch by 2-inch photo, driver’s license and vehicle registration copies, current insurance proofs, and a Certificate of Competency with a paid license from the same municipality.
What insurance wording does the form require?: The form says Mineola must be listed as certificate holder on liability, workers’ compensation, and disability insurance, and as additional insured on liability insurance.

Need something notarized?

This Electrician’s License & License Renewal Application doesn’t need a notary — but if you have another Mineola form that does, a commissioned online notary can help.