Ulster County, NY · Ulster County

No notary required

Electrical License Renewal Form

Ulster County electrical license holders use this form to renew their license and provide the required supporting documents.

At a glance

Issued by
City of Ulster County · Ulster County, Ulster County, New York
Notarization
Not required: file this form without a notary.
Official source
ulstercountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This form is for renewing an Ulster County electrical license, which must be renewed annually before its expiration. It asks for the license holder’s name, license number, and information about any non-traffic criminal conviction. Applicants must also submit insurance and workers’ compensation documentation, a notarized child support affidavit, the renewal fee, and proof of a qualifying refresher course.

Who needs it

Electrical license holders seeking to renew their Ulster County license must submit this form with the listed supporting materials.

How to submit it

Submit the renewal form and required materials to the Ulster County Department of Public Works, 317 Shamrock Lane, Kingston, New York 12401.

About notarization

This renewal form has no notary block; its required child support affidavit must be signed and notarized separately.

How to submit this form

  1. 1

    Download the Form

    Download the Ulster County Electrical License Renewal Form.

  2. 2

    Complete the Form

    Enter your name and electrical license number, then answer the question about non-traffic criminal convictions.

  3. 3

    Gather Required Materials

    Include the listed insurance and workers’ compensation documentation, notarized child support affidavit, renewal fee, and refresher-course proof.

  4. 4

    Submit to the County

    Submit the form and required materials to the Ulster County Department of Public Works at the address listed on the form.

Frequently asked questions

Do I need a notary for the Electrical License Renewal Form?
No. This renewal form has no notary block, but the required child support affidavit must be signed and notarized separately.
How do I submit the Electrical License Renewal Form?
Submit the renewal form and required materials to the Ulster County Department of Public Works at 317 Shamrock Lane, Kingston, New York 12401.
What documents are required for renewal?
The form lists proof of current liability and disability insurance, workers’ compensation or a sole-proprietor waiver, a notarized child support affidavit, and proof of a qualifying refresher course.
What renewal fee does the form list?
The form lists a $75 fee for New York State residents and a $350 fee for nonresidents, payable by check or money order to the Ulster County Commissioner of Finance.

Need something notarized?

This Electrical License Renewal Form doesn’t need a notary, but if you have another Ulster County form that does, a commissioned online notary can help.