Affidavit of Hours Worked Test Taker's Name(Required)Company Name(Required)Test Requested and Hour Requirements(Required) Journeyman Installer: 1000 hours (2000 hours if not HS Diploma/GED) of lightning protection work experience Master Installer: 2000 additional hours of lightning protection work experience beyond the Journeyman Installer requirements Master Installer/Designer: 2000 additional hours of lightning protection work experience beyond the Master Installer requirements Is the Employer a member of the LPI?(Required) Yes No Start Date of Hours Worked(Required) MM slash DD slash YYYY End Date of Hours Worked(Required) MM slash DD slash YYYY Code of Ethics: Integrity - I will act honestly, with strong moral principles, avoid deception, fraud or misrepresentation, and be truthful in all professional and business dealings. Confidentiality - I will protect sensitive and private information and not disclose information without proper authorization. Impartiality - I will treat everyone equitably, without bias or discrimination and avoid conflicts of interest or favoritism. Compliance - I will adhere to all applicable laws, rules, and industry standard and report unethical or illegal activities when required.Consent(Required) I certify that the Test Taker has satisfied and confirmed the required hours of lightning protection work experience. I also agree to abide by the above Code of Ethics.Signature of Owner or Company Officer(Required)Your typed name will serve as your electronic signature.Your Position / Title(Required)Date(Required) MM slash DD slash YYYY CAPTCHA
