Jermyn, PA · Lackawanna County

No notary required

NEIC Electrical Subcode Application

Property owners or their authorized agents use this application to provide information about a proposed electrical project and its work site.

What this form is

This application records information for an electrical subcode permit, including the work site, owner, contractor, electrical characteristics, and technical site data. The applicant certifies they are the owner of record or an authorized agent and provides a signature and date. The form also includes sections for office use, such as fees, permit details, plan review, and inspection records.

Who needs it

An owner or authorized agent applying for an electrical subcode permit can use this form to report project and work-site information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; its certification is in lieu of oath, and the applicant signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the NEIC Electrical Subcode Application PDF.

  2. 2

    Complete Applicable Information

    Fill in all applicable applicant, work-site, owner, contractor, electrical, and technical site information.

  3. 3

    Sign And Date

    Complete the certification and provide the applicant's signature and date.

  4. 4

    Submit To The City

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the NEIC Electrical Subcode Application?
It is an application for electrical subcode work. It collects applicant, owner, contractor, work-site, electrical characteristics, and technical site information.
Who completes this electrical subcode application?
The form directs the applicant to complete all applicable information. Its certification says the signer is the owner of record or an authorized agent.
Do I need a notary for the NEIC Electrical Subcode Application?
No. This application is signed without a notary; its certification is in lieu of oath, and the applicant signs and dates it.
How do I submit the NEIC Electrical Subcode Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This NEIC Electrical Subcode Application doesn’t need a notary — but if you have another Jermyn form that does, a commissioned online notary can help.