Forms

APPLICATIONS

Engineer Intern: WORD | PDF

Professional Engineer (Original, Comity, or Reinstatement): WORD | PDF

Professional Engineer Reinstatement (Continuing Education Log of Activities): PDF

Surveyor Intern: WORD | PDF

Professional Surveyor (Original, Comity, or Reinstatement): WORD | PDF

Professional Surveyor Reinstatement (Continuing Education Log of Activities): PDF

Certificate of Authorization (New, Reinstatement, or Amendment to an existing License): WORD | PDF

Military Expedited Licensure: | PDF

Criminal History Form (eMail completed form and supporting documents to pelsboard@arkansas.gov): PDF

Complaint Form | WORD | PDF

Complaint Answer Form | WORD | PDF

Engineer Intern:

EI – Even Numbered License | EI Renewal 2023-2024 PDF Form

EI – Odd Numbered License | EI Renewal 2024-2025 PDF Form

Professional Engineer:

PE – Even Numbered License | 2023-2024 PDF Form

PE – Odd Numbered License | 2024-2025 PDF Form

Continuing Education Log of Activities | PDF Form

Dual Licensee: PE & PS Licensee

Even Numbered PE License | Dual Renewal 2023-2024 PDF Form

Odd Numbered PE License | Dual Renewal 2024-2025 PDF Form

Continuing Education Log of Activities | PDF Form – Dual

Certificate of Authorization:

COA – Even Numbered License | COA Renewal 2023-2024 PDF Form

COA – Odd Numbered License | COA Renewal 2024-2025 PDF Form

Surveyor Intern:

SI – Even Numbered License | SI Renewal 2025-2026 PDF Form

SI – Odd Numbered License | SI Renewal 2024-2025 PDF Form

Professional Surveyor:

PS – Even Numbered License | PS Renewal 2025-2026 PDF Form

PS – Odd Numbered License | PS Renewal 2024-2025 PDF Form

Continuing Education Log of Activities | PDF Form

Criminal History Form: Submit the completed form with supporting documents via email to: pelsboard@arkansas.gov | PDF