Electrical Training Center

March 2023

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Important Links

Local 697 Business Office

Benefits Office

Credit Union

This form is intended for use by IBEW Local 697 members. Requests submitted by others will not be processed.

EPRI B Renewal

Name: *

Street Address *

CIty *

State *

Zip Code *

Phone Number *

Email Address *

SS# *

IBEW Card # *

Notice:

A maximum difference of two years between today's date and the certification expiration date is allowed for recertification.

Certification Expiration Date: *

Today's Date: *

Home Local: *

Location of your Part B Exam: *

Additional Requirements

Please supply a record of work history totaling no less than 1200 hours within your certification period. Include employer contact information for all applicable employers within the certification period. Submit this form with all attached documents to the Host Facility where you completed your Part B Exam (Performance Exam) or to your local JATC for review. You MUST supply a copy of your current certification card to the JATC.

Contractor: *

Dates Worked: *

Hours Worked: *

Supervisor: *

Phone Number: *

Contractor:

Dates Worked:

Hours Worked:

Supervisor:

Phone Number:

Contractor:

Dates Worked:

Hours Worked:

Supervisor:

Phone Number:

File Upload: EPRI Card FRONT *

You must provide a copy/photo of your EPRI card, front, and back.

File Upload: EPRI Card BACK *

You must provide a copy/photo of your EPRI card, front, and back.

Training Director of Local JATC