Elevating Devices Mechanic Certification Renewal Form

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Complete this renewal form and attach any necessary documentation. Note that if your application is missing information, it will not be accepted.

Please select the Mechanic Certification Class below:

Mechanic Certification Class

Class A
Class B
Class C

Current EDM License Number

Section 1: Applicant Information

Applicant Name

First Name
First Name

Last Name
Last Name

Mailing Address

Street Address
Street Address

Line 2
Line 2

City
City

State/Province
State/Province

Postal/ZIP Code
Postal/ZIP Code

Phone Number

Area Code
Area Code

Phone #
Phone

Email

Section 2: Mechanic Employment

To perform regulated work, Elevating Devices Mechanics must be employed by a Licensed elevating devices contractor or must be a licensed contractor.

Name of Employer/Licensed Contractor (or previous employer)

Contractor License Number

Contractor Email

Area Code
Area Code

Phone #
Phone

Section 3: Continuing Education Information

Elevating Device Mechanic Certification TSASK Information Paper IP-ELE-2022-01-01

Continuing Education Requirements
Requires you to satisfy continuing education requirements before renewing your Elevating Devices Mechanics certificate of qualification.

To renew your certificate, you must complete 12 hours of continuing education, which consists of:
• Safe work practices and related topics that may include product-specific safety applications or procedures;
• The Act, Regulations, applicable codes, bulletins, related topics; and
Part 2
• Technical training related to the elevator industry, which may include cross discipline training involving curriculum that may have an impact on the elevator trade.

Act, Regulations and Code Training

Total Hours of Act, Regulations and Code Training

Technical Training

Total Hours of Technical Training

Trade-Specific Training

Total Hours of Trade-Specific Safety Training

Section 4: Declaration

Consent of Terms of Service
I declare that the information/documentation provided is correct and accurate.
I declare that I have attached a copy of course completion letters for all courses listed above.

I hereby agree to the terms stated above
I decline

Section 5: File Upload

Upload Certification Document(s) (Max 5 files and 50MB file size) Browse Clear selected files

Payment

Amount

GST

PST

Total Amount: $125.00

Payment Method

Credit Card Information

Credit Card Number

Expiry Date

CVD

Billing Information

First Name

Last Name

Email

Phone

Address

City

Province

Postal Code

Country

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Elevating Devices Mechanic Certification Renewal Form

Please select the Mechanic Certification Class below:

Section 1: Applicant Information

Section 2: Mechanic Employment

Section 3: Continuing Education Information

Act, Regulations and Code Training

Technical Training

Trade-Specific Training

Section 4: Declaration

Section 5: File Upload

Payment

Total Amount: $125.00

Payment Method

Credit Card Information

Billing Information