Electrical Inspector's License/Renewal Application

Electrical Inspector's License/Renewal Application
The annual license fee of $400 per inspector must be paid prior to the issuance of license.

License fee/renewal fee - an invoice will be sent to you via email from noreply@epl.albanyny.gov. At that time you can opt to pay the invoice online on our CSS Portal or mail a Check/Money Order to our office at 200 Henry Johnson Blvd. - Suite 1; Albany, NY 12210.

Once payment has been made, your license will be issued and emailed to you.
License Application Type*

New LicenseRenewal
License No.*
Corporation Name*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Individual 1*

First NameLast Name
Individual 1 Phone*
Please enter a valid phone number.
Individual 2

First NameLast Name
Individual 2 Phone
Please enter a valid phone number.
Individual 3

First NameLast Name
Individual 3 Phone
Please enter a valid phone number.
Individual 4

First NameLast Name
Individual 4 Phone
Please enter a valid phone number.
Year(s) engaged in business*
Are you familiar with the NYS Uniform Prevention & Building Code and National Electric Code?*

YesNo
Do you qualify under the current National Association of Electrical Inspectors or other relevant criteria?*

YesNo

Inspector Information
Please fill in information below and attach a copy of your latest card, if you have more than two inspectors please upload a list of additional inspectors with Name, Date Issued, Certificate No., & Expiration Date. Please make sure to upload the latest card for all inspectors.
Inspector 1*

First NameLast Name
Inspector 1 Date Issued*

MonthDayYear
Date
Inspector 1 Certificate No.*
Inspector 1 Expiration Date*

MonthDayYear
Date
Inspector 2

First NameLast Name
Inspector 2 Date Issued

MonthDayYear
Date
Inspector 2 Certificate No.
Inspector 2 Expiration Date

MonthDayYear
Date
Please upload a copy of each inspector's latest card and if need the listing of additional inspectors with cards.*

Cancelof

Insurance Documents
Attached hereto and forming part of the application herein are certificates of insurance specifying the following insurance coverage.*

Workers' Compensation (or waiver)Disability InsuranceGeneral Comprehensive Liability
Personal Injury Amount of Coverage*
Property Damage Amount of Coverage*
Please upload insurance documents*

Cancelof

Has any license previously issued to applicant by the City of Albany been denied, suspended or revoked?*

NoYes
If yes, give date and reasons for such denial, suspension or revocation
Have you ever been convicted of a crime?*

NoYes
Are you presently licensed by any other municipality in New York State?*

NoYes
If yes, which one(s)
Certification
Applicant Name

First NameLast Name
I hereby apply to the Department of Buildings & Regulatory Compliance of the City of Albany for Certification pursuant to Standard Operating Procedure BRC-AP-30 of the City of Albany, Department of Buildings & Regulatory Compliance to engage in business of Electrical Inspections. I understand that I will be invoiced for payment and that until such time as payment is made, no license/renewal will be issued.

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Inspector Information