All new and renewing applicants will be required to submit all of the required forms:

• Eye Exam Form   Exam date must be within 6 months of certification test date.

• Inspector Certification Portfolio  

• Inspector Certification Supervisor Attestation  Please use if you are supervised by an individual

• Inspector Certification Self Supervisor Attestation Please use if you are the owner or are self-supervised

• ACORD Certificate of Insurance SAMPLE Certificate of Insurnce needs to be dated within 30 days of submitting application

• Additionally Listed Companies Please use this form if you need to add up to two (2) additional companies to your certificate. You will need to include a Certificate of Insurance for any additional companies.

In-House Inspector:  Inspector must provide certificate of company insurance showing general liability policy of $1,000,000.00 minimum coverage.

Professional Inspector:  Inspector must provide certificate of insurance showing professional liability of $1,000,000.00 minimum coverage. Professional services covered by the professional liability policy must be listed in the description of operations of the certificate of insurance. Professional services must include inspections.