Evaluation Application for Class A, B or C Elevating Devices Mechanic Certification & Licence


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UPON APPROVAL OF THIS EVALUATION, YOUR ELEVATOR DEVICE MECHANIC CERTIFICATE AND 2 YEAR LICENCE WILL BE MAILED TO YOU.

Please select the Mechanic Certification Class below:
Mechanic Certification Class
  
  
  
Section 1: Applicant Information
Applicant Name

Mailing Address

Phone Number

Section 2: Employer/Company Information

Company Address

Company Contact's Phone

Employment Start Date

EDM Certification from Another Jurisdiction
Do you currently hold an Elevator Devices Mechanic Licence from another jurisdiction?

If YES please complete Sections 3, 4 & 8. If NO, please complete Sections 4, 5, 6 & 8

  
  
Section 3: EDM Certification

Please upload copy of front and back of EDM card & applicable certificates
(Max 5 files and 50MB file size)
If you have difficulty uploading your documents, please email them to elevatordesign@tsask.ca

To upload more than one file at a time:
• Click the Browse button, a file window will open
• Click the first file you want to upload
• Press and hold the Ctrl key on your keyboard
• While holding down the Ctrl key, click each of the other files you want to upload
• When finished selecting files click Open

Section 4: Qualifications
Identify the specific types of Elevating Devices and the nature of work performed (ie: Elevators/escalators, working in maintenance/construction, and in what capacity):
Install/Construct
  
  
  
  
  
  
  
  
  
  
  
  
Maintenance
  
  
  
  
  
  
  
  
  
  
  
  
Repair/Service
  
  
  
  
  
  
  
  
  
  
  
  
Alteration
  
  
  
  
  
  
  
  
  
  
  
  
Supplemental Education in Saskatchewan: Elevating Devices Acts & Regulation Course & Exam (Mandatory Certificate)
Section 5: Employment Summary
An Employer Declaration from must be completed by each of the employers listed below, and uploaded below.
Please select for a copy of Employer Declaration Form
Add Employer/Organization:
Section 6: Apprenticeship Details
Please complete section below for all applicable programs/safety classes. Please upload copies of certificates in the upload section below
CET - National Association of Elevator Constructors
Enrollment Date

Completion Date

CEIEP - Canadian Elevator Industry Educational Program
Enrollment Date

Completion Date

CAT - Canadian Elevator Technician Education Program
Enrollment Date

Completion Date

Enrollment Date

Completion Date

Please list all additional Safety Training Courses (Mandatory Field)
Please select the green + to add additional course information
Section 7: For Office Use Only

Section 8: Payment
Consent

To the best of my knowledge, this application and all supporting documents are accurate. I understand that a false or misleading statement in this application or in any of the reference or other evidence or qualification submitted by myself or on my behalf may result in the Chief Inspector denying this application.

  

Total Amount: $200.00

Payment Method
Credit Card Information

Billing Information