Affidavit For Hours Worked - Lightning Protection Institute

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 no 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

Journeyman Hours of Work Experience:

1,000 hours / will submit HS Diploma or GED

2,000 hours / will NOT submit HS Diploma or GED

Is the Employer a member of the LPI?(Required)

Yes

Start Date of Hours Worked(Required)

End Date of Hours Worked(Required)

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.

Signature of Owner or Company Officer(Required)

Your typed name will serve as your electronic signature.

Owner or Company Office Email Address(Required)

Your Position / Title(Required)

Date(Required)

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