Request Date: 

-- mm/dd/yy

Please provide your name, employer and trainee license number

First Name
Last Name
Employer
License No.

New contact information

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
Email:

Comments?:

Apprentice Verification Code*: 

*This verification code is required in order for your request to be processed. 

If you do not yet have a code, please contact the IEC of Washington administrative office to establish one.  This code is unique to you and must consist of 8 - 15 characters including numbers, letters or any symbol located on the number keys of a standard keyboard excluding parenthesis ( ! @ # $ % ^ & * ).

By submitting this form, you are agreeing to receive communication from IEC of Washington via the email address you have provided herein.