Edit, Download, and Sign the Illinois Licensure Verification of Employment Form
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How do I fill this out?
To complete this form, start by filling in your personal information at the top. Next, forward the form to your supervisor for their section. Ensure that both parts are completed to avoid delays in processing your application.

How to fill out the Illinois Licensure Verification of Employment Form?
1
Read the instructions carefully before starting.
2
Fill out your personal details at the top of the form.
3
Send the form to your supervisor for completion.
4
Ensure your supervisor accurately fills in their information.
5
Submit the completed form to the designated department.
Who needs the Illinois Licensure Verification of Employment Form?
1
Engineers seeking licensure in Illinois are required to verify their work experience.
2
Supervisors who oversee applicants must provide verification of their experience.
3
Job applicants needing to document their employment history benefit from this form.
4
Educational institutions may require this form for professional certification.
5
Consultants in engineering fields may use this form to maintain licensure.
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What are the instructions for submitting this form?
To submit this form, complete all necessary sections and ensure both you and your supervisor have signed it. Email the completed form to FPR.DesignUnit@ILLINOIS.GOV. Alternatively, forms can be faxed to the appropriate department, following the directions provided by the Illinois licensing authority.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure to check application deadlines for licensure submissions through the Illinois Department's website. Timely submissions are crucial for review and approval processes. Stay informed on any updates regarding requirements.

What is the purpose of this form?
The purpose of this form is to verify employment and professional experience of applicants seeking licensure in Illinois. It ensures that the applicants have substantial work under the supervision of a licensed professional engineer. Submitting this form is a key step in facilitating the licensure process.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Information: Contains personal details of the applicant including name and social security number.
- 2. Supervisor Information: Includes details about the licensed supervisor verifying the applicant's experience.
- 3. Employment/Experience Information: Collects information about the applicant's employment duration and nature of work.
- 4. Supervisor Certification: A section for the supervisor to certify the validity of the information provided.
What happens if I fail to submit this form?
Failure to submit this form may lead to the processing delay or denial of your licensure application. It is critical to ensure that both sections of the form are completed correctly and submitted on time.
- Processing Delay: Incomplete forms can result in significant delays in application processing.
- Application Denial: Not submitting the required form may cause your licensure application to be rejected.
- Lack of Verification: Without this form, your work experience cannot be validated by the licensing board.
How do I know when to use this form?

- 1. Initial Licensure Application: Required for new applicants seeking to obtain their engineering license.
- 2. Endorsement Applications: Used for those applying for licensure endorsement from other states.
- 3. Experience Verification: Necessary for supervisors to confirm the applicant's engineering experience.
Frequently Asked Questions
What is this form used for?
This form is used to verify employment and experience for licensure as a professional engineer in Illinois.
Who should fill out this form?
Both the applicant and the supervisor must complete their respective sections of the form.
Can I edit this PDF?
Yes, you can easily edit this PDF using the PrintFriendly PDF editor.
How do I submit this form?
Submit the completed form via email to the designated department.
What happens if I don't submit this form?
Failure to submit may result in your licensure application not being processed.
Is there a deadline for submission?
It's important to check with the Illinois Department for specific submission deadlines.
Can I save my edits?
You can download your edited document to your device.
What if I need assistance filling it out?
Refer to the detailed instructions provided or contact the relevant department for support.
Is a printed copy required?
A digital copy is acceptable, but ensure to follow submission guidelines provided.
Can the supervisor sign this form electronically?
Yes, the supervisor can digitally sign the form using PrintFriendly.
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