Affidavit of Hours Worked Test Taker's 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 Consent(Required) I certify that the Test Taker has satisfied and confirmed the required hours of lightning protection work experience.Start Date of Hours Worked(Required) MM slash DD slash YYYY End Date of Hours Worked(Required) MM slash DD slash YYYY Consent(Required) I certify that the Test Taker has satisfied and confirmed the required hours of lightning protection work experience. Projects worked on adding up to the required hours is listed below.Projects Worked on totaling the required hours worked. Please list project name, city and state.(Required)Signature of Owner or Company Officer(Required) Your typed name will serve as your electronic signature.Your Position / Title(Required) Company Name(Required) Date(Required) MM slash DD slash YYYY CAPTCHAUntitled
