The Virginia Professional Engineer License Application, Form A416-0402LIC, is the form every engineer must complete to become a licensed Professional Engineer (PE) in Virginia, and it is filed with the Board for APELSCIDLA inside the Department of Professional and Occupational Regulation (DPOR). This single form covers three paths to a license: applying by examination, applying by comity (you already hold a PE license in another state), and reinstating a Virginia license that expired five or more years ago.
Getting this form right matters because the DPOR board reviews your application package as a complete set, and a missing reference form, an unverified exam score, or a blank qualification box can push your file to the back of the line for months. The board and its sister boards regulate roughly 35,000 individuals and business entities, so a clean, complete package is what keeps your file moving instead of stalling in a correction loop.
Here is what you will learn in this guide:
- 📋 How to fill out every box on Form A416-0402LIC, line by line, in plain English.
- 💵 The exact fees for each method (by exam, by comity, and reinstatement) and how to pay them.
- 📎 Every attachment you must mail with the form so your package is not returned.
- 🧑🔧 Three full walkthroughs using real applicant scenarios from start to finish.
- ⚠️ The field-level mistakes that delay or deny licenses, and how to avoid each one.
What the Form Is and Who Must File It
Form A416-0402LIC is the official Professional Engineer License Application used by the Commonwealth of Virginia. The version in use is A416-0402LIC-v7, revised 08/01/2025, and you should confirm that date in the footer of your copy before you start so you are not filling out an old form. The form is issued by the Board for Architects, Professional Engineers, Land Surveyors, Certified Interior Designers and Landscape Architects, known as the APELSCIDLA Board, which sits inside DPOR.
The board’s authority comes from Title 54.1, Chapter 4 of the Code of Virginia and the board’s own rules in 18VAC10-20. In plain English, state law says you cannot call yourself a Professional Engineer or stamp engineering documents in Virginia unless this board has licensed you. The consequence of ignoring that rule is serious: practicing or advertising as a PE without a license can bring fines and a permanent mark on your record. For example, Daniel signs and seals a structural drawing for a Richmond client before his license is issued, and the board can pursue an unlicensed-practice case against him even though his application was already in the mail.
Who must file this form? Three groups. First are examination applicants who have already passed the PE exam and want their Virginia license. Second are comity applicants who hold a PE license in another state, territory, or the District of Columbia and want to add Virginia. Third are reinstatement applicants whose Virginia license expired five or more years ago. A common misconception is that everyone uses the same path, but the form makes you pick exactly one method at the top, and the wrong choice changes which attachments you owe.
Before You Start: Documents and Information You Need
Gather everything before you open the form, because Virginia reviews the application as a full package and the date the complete package arrives is the date that counts for any deadline. If even one piece is missing, the board treats the package as incomplete, and your filing date can slip past an exam cutoff. Here is your pre-filing checklist.
- Your full legal name as it appears on your government ID. A mismatch with your ID or your exam records can trigger an identity hold while staff confirm you are the same person.
- Your Social Security number or Virginia DMV control number. State law requires one of these on every license application, and leaving it blank stops processing.
- Your date of birth and any maiden or former names. Former names let the board match older exam scores and references to you.
- Three completed Professional Engineer Reference Forms, each less than one year old. Without three current references, your package is incomplete and will not be reviewed.
- Experience Verification Forms covering all required years. Resumes do not count; only the board’s form documents experience, and unverified time earns zero credit.
- A Degree Verification Form or official transcript. This proves your degree meets the education path you claim on the form.
- A Verification of Examination and Licensure Form. This confirms your passing FE and PE exam scores, unless you passed the FE in Virginia.
- Your payment. A check or money order payable to the Treasurer of Virginia, or a completed credit card insert, must travel with the package.
Two more items help certain applicants. Comity filers should gather an NCEES Council Record or a Certification of Licensure from each state where they are licensed. Applicants educated outside the United States in a non-English-language program may need a TOEFL iBT score report less than two years old. Priya, who earned her engineering degree abroad, orders her TOEFL report early because score delivery can take weeks and a late report would hold her whole file.
Where to Get the Form and How to Access It
You can download Form A416-0402LIC directly from the board’s forms library. The official PDF lives on the DPOR site as the Professional Engineer License Application, and it is a fillable seven-page document you can complete on a computer before printing. The first two pages are an information sheet that lists requirements by applicant type, and the actual application begins on page 3.
Always pull a fresh copy each time you apply rather than reusing an old download, because the board updates the form and the v7, 08/01/2025 revision may differ from a version you saved last year. Submitting an outdated version is a common reason files get bounced back, and that delay can cost you an exam cycle. Marcus learns this the hard way when his two-year-old printout lacks the current qualification checkboxes and the board returns it.
The companion forms you need live in the same library. You can reach the full set through the DPOR forms and applications page, where the Reference Form, Experience Verification Form, Degree Verification Form, and Verification of Examination and Licensure Form are all posted. A misconception is that you can apply for the initial PE license fully online; in practice, the package with references and verifications is built around mailing, so plan to print, sign, and mail. License verifications for other purposes can be requested online for $40 through MyVirginia, but that is a different service from this application.
Step-by-Step: How to Fill Out Form A416-0402LIC Line by Line
The application begins on page 3 with your Method of Licensure selection and runs through your signature on page 6. Complete every box that applies to your chosen method, and skip the parts the form tells you to skip so you do not add conflicting information. Work top to bottom, because several questions tell you to “skip to question #15” once you answer them.
Method of Licensure (Top of Page 3)
This is the most important choice on the form, and it asks one thing in plain English: how are you qualifying for your Virginia PE license? You check exactly one box: By Examination (Trans 1005, $120.00), By Comity (Trans 1021, $120.00), or Reinstatement of a VA Professional Engineer License that expired 5 or more years ago (Trans 4020, $460.00). Check the box that matches your path and note the matching fee, since the amount you enclose must match the method you select.
For example, Daniel passed the PE exam in Virginia and never held a license elsewhere, so he checks By Examination and plans a $120.00 payment. A nuance lives in the two sub-questions printed under the choices: the exam box asks if this is your first time applying in Virginia, and the comity box asks whether you are applying with an NCEES Certificate Record, so answer the one tied to your box. The most common mistake here is checking two boxes or none, which forces the board to guess your path and hold the file for clarification. A frequent misconception is that comity is “easier” and avoids experience proof, but comity applicants without an NCEES record must still document their experience.
Question 1: Have You Ever Held a Virginia PE License?
This box asks, in plain terms, whether Virginia has licensed you as a PE before. Check No if you have never held one, or check Yes and write your VA License Number and Expiration Date in the spaces provided. Answer honestly, because the board cross-checks its own records and a false “no” can be treated as a material omission.
For example, Elena held a Virginia PE license years ago that lapsed, so she checks Yes and enters 0402 001234 with the expiration date. The nuance the form spells out is the timing rule: if your license expired more than 6 months but less than 5 years ago, you must use the separate Reinstatement Application and not this form, while a license expired 5 or more years ago uses this form with a reinstatement fee. The common mistake is using this application when you actually need the short-lapse reinstatement form, which gets your package rejected and your fee held. The misconception is that any expired license is “reinstated” the same way, when the five-year line changes everything.
Question 2: Full Legal Name
This field asks for your name exactly as it appears on your government-issued ID or other legal documentation. Enter your Last name (required), First name (required), Middle name, and Generation (such as Jr. or III) in the labeled boxes. Match your ID character for character, including hyphens and apostrophes, because the board verifies identity against legal records.
For example, Maria Lopez-Reyes writes Lopez-Reyes in the Last box, Maria in the First box, and leaves Generation blank. The nuance is that the name here should also match the name on your exam records and references, so they all link to one person. The common mistake is entering a nickname or a shortened name, which can break the match to your NCEES exam score and delay verification. A misconception is that a small spelling difference will not matter, but even a dropped middle initial can slow a cross-check.
Question 3: Identification Number
The form requires one of two numbers in plain English: your Social Security Number and/or your Virginia DMV Control Number. State law requires every license applicant to provide one of these, so this box is not optional. Use the same identification number you used on your exam, prior applications, or any license already on file with the department.
For example, Daniel enters his Social Security number in the format shown, 123-45-6789. The nuance is the instruction to match the number you used before; if you took the FE under one number and write a different one here, the board cannot link your score. The common mistake is leaving this blank out of privacy concern, which stops processing because the field is legally mandatory. The misconception is that the DMV control number is rare or hard to get, when many Virginia residents can use it as an alternative to the SSN.
Question 4: Date of Birth
This box asks for your date of birth, and it must be written in MM/DD/YYYY format. Enter two digits for the month, two for the day, and four for the year, with slashes between them. The date helps the board tell you apart from other applicants who share a name.
For example, Maria Lopez-Reyes writes 03/14/1985 in the date of birth box. The nuance is the four-digit year; abbreviating the year as two digits can create an ambiguous entry. The common mistake is using a day-month-year order, which is normal in some countries but wrong here and can flag your record for review. The misconception is that date of birth is a throwaway field, when it is one of the identity anchors the board uses to match your file.
Question 5: Maiden or Former Name(s)
This field asks for any maiden names or former legal names you have used. List each former name in the space provided, or leave it blank if you have never changed your name. This matters because your degree, exam scores, or references may carry an earlier name.
For example, Elena Carter, who was Elena Petrova during school, writes Elena Petrova here so the board can match her transcript. The nuance is that you should include every prior name, not just the most recent, if records span more than one. The common mistake is leaving this blank after a name change, which can leave a transcript or FE score “orphaned” and unverifiable. The misconception is that only a current name matters, when the board needs the trail to connect older documents to you.
Question 6: Mailing Address
This box asks for the mailing address that will be printed on your license, and a P.O. Box is accepted here. Enter your street or box, City, State, and Zip Code in the labeled fields. Choose this address carefully because it becomes your public license address.
For example, Daniel enters PO Box 220, Richmond, VA 23218 as his mailing address. The nuance is that this is the address the board uses to reach you about your file, so it must be current and one you check. The common mistake is entering an old address you are about to leave, which means renewal notices and your actual license can go astray. The misconception is that the mailing and physical address are interchangeable, when the next box demands a true physical location.
Question 7: Street (Physical) Address
This field requires your physical street address, and a P.O. Box is not accepted here. Enter your actual residence or office street, City, State, and Zip Code, or check the box that says it is the same as your mailing address. The board needs a real location, not just a mailbox.
For example, Priya enters 742 Maple Avenue, Arlington, VA 22201 as her physical address. The nuance is the checkbox shortcut: if your mailing and physical addresses truly match and your mailing line was a street (not a box), you can check “same as mailing.” The common mistake is repeating a P.O. Box here, which the form forbids and which gets flagged. The misconception is that a physical address invades privacy unnecessarily, when state licensing law standardly requires one.
Question 8: Contact Numbers and Email
This box asks for your Primary Telephone, optional Alternate Telephone and Fax, and your Email Address. Enter at least your primary phone and a working email so the board can reach you fast about any gap in your package. Quick contact often turns a multi-week delay into a same-week fix.
For example, Marcus lists his cell as the primary number and his work email. The nuance the form states plainly is that your email is a public record and will be disclosed to third parties who request it, so use an address you are comfortable sharing. The common mistake is giving an email you rarely check, so a board request for a missing form sits unread and your file stalls. The misconception is that the board will call before mailing, when much of its contact is by email.
Question 10: Reapplying for the PE Exam
This question asks whether you are reapplying to take the Principles and Practice of Engineering (PE) examination in Virginia. Check Yes and provide the month and year of the exam if you are re-registering, then skip to question #15; otherwise check No. This routes exam re-takers away from the licensure-only fields.
For example, Sofia failed her first PE attempt and is reapplying, so she checks Yes, writes the exam month and year, and jumps to question 15. The nuance is the skip instruction: answering yes means you do not fill the education and comity blocks on this pass. The common mistake is filling the whole form when you only need to re-register for the exam, which adds conflicting data. The misconception is that re-taking the exam restarts your entire application, when this routing keeps it simple.
Question 11: Reinstating an Expired License
This box asks whether you are reinstating a Virginia license that expired five or more years ago. Check Yes and attach proof of 16 hours of continuing education plus Experience Verification Forms covering the time from expiration to now, then skip to question #15; otherwise check No. The board uses this to confirm you are still qualified after a long lapse.
For example, Elena, whose license lapsed seven years ago, checks Yes, gathers her 16 CE hours under 18VAC10-20-683, and documents her recent experience. The nuance is that the experience must run from the expiration date to the present, with no gaps. The common mistake is skipping the CE proof, which the rule requires and without which reinstatement is denied. The misconception is that an old license simply switches back on, when the board re-evaluates your current qualifications.
Question 12: Education
This field asks you to list your engineering education in a table with the Institution, Degree (BS, BA…), Major, and MM/YY Completed, with rows for Bachelor’s, Master’s, and Ph.D. Fill in each degree you hold that supports your qualification path. Accuracy here ties directly to the qualification box you check in question 14.
For example, Daniel writes Virginia Tech, BS, Civil Engineering, 05/19. The nuance is the completion date format, MM/YY, which should match your transcript or Degree Verification Form. The common mistake is listing a degree the board cannot verify because no Degree Verification Form or transcript is attached, leaving the education unproven. The misconception is that a resume or a diploma photo will do, when only the board’s verification form or an official transcript counts.
Question 13: Are You Applying Through Comity?
This question asks whether you are applying by comity because you already hold a PE license elsewhere. Check No if you are an exam applicant, or check Yes and follow the two sub-paths. Sub-question A asks if you have an NCEES Council Record; if yes, you provide three reference forms and have NCEES send the record directly to the Virginia Board, then skip to question 15.
If you do not have an NCEES record, sub-section B requires you to complete the license table for every jurisdiction where you are or were licensed, listing the State/Jurisdiction, whether you passed a written exam, your License/Certification/Registration Number, and the Expiration Date for PE and EIT lines. For example, Robert lists Maryland, PE, exam: yes, License 54321, exp 12/2027. You must also attach an original Certification of Licensure or Letter of Good Standing dated within the last 30, 60, or 90 days, three reference forms, and a Verification of Examination and Licensure Form from each state where you passed the exam. The common mistake is sending an outdated good-standing letter, which the board rejects on freshness grounds; the misconception is that holding any out-of-state license guarantees a Virginia license, when the board notes a record “does not guarantee licensure.”
Question 14: Which Qualification Requirement Have You Met? (Check Only One)
This is the heart of the exam-path application, and it asks which education-plus-experience combination qualifies you. You check only one of four options: A is an approved-program graduate with an EIT designation and at least four years of qualifying experience; B is an ABET-accredited undergraduate (or ABET-accredited doctorate at the undergraduate level) graduate with at least four years; C is a non-approved engineering, related-science, or engineering-technology graduate with an EIT and at least six years; and D is a non-approved engineering-technology graduate with an EIT and at least ten years. Check the single box that fits and write your Virginia EIT designation number where the box requires it.
For example, Daniel, an ABET civil engineering graduate with five years of experience, checks B and attaches his Degree Verification Form and Experience Verification Forms. The nuance is that boxes A, C, and D require an EIT designation number while B does not, so do not leave the EIT line blank if your box demands it. The common mistake is checking the wrong box for your years of experience, such as claiming B with only three years, which forces a denial because the experience floor is not met. The misconception is that all engineering degrees are “approved,” when ABET accreditation and program type decide which box and how many years you need; each box lists its required attachments, so provide the matching Degree Verification Form and Experience Verification Form(s).
Question 15: Disciplinary Action History
This box asks whether you have ever been subject to a disciplinary action by any local, state, or national regulatory body, including Virginia. Check No or check Yes and complete the separate Disciplinary Action Reporting Form. Answer truthfully, because the board verifies licensing history across jurisdictions.
For example, Robert, who once received a reprimand in another state, checks Yes and attaches the reporting form with a clear explanation. The nuance is that even minor or closed actions must be disclosed, since the question is not limited to revocations. The common mistake is saying “no” to a long-ago matter you assume is irrelevant, which becomes a material omission if discovered. The misconception is that disclosing a past action automatically bars you, when the board reviews the facts and many applicants with disclosures are still licensed.
Question 16: Criminal Conviction History
This field has two parts that ask, in plain English, whether you have ever been convicted of or found guilty of (A) any felony, or (B) any non-marijuana misdemeanor, in any U.S. jurisdiction, regardless of how the case was adjudicated. Check No or Yes on each part, and complete the Criminal Conviction Reporting Form if you answer yes to either. Honesty is essential because the board runs background checks.
For example, Marcus had a misdemeanor years ago, so he checks Yes on part B and attaches the reporting form. The nuance is that the question covers any manner of adjudication, so deferred or “no contest” outcomes still count, while a marijuana misdemeanor is carved out of part B. The common mistake is omitting a conviction you believe was expunged or sealed, which can be treated as falsifying the application. The misconception is that a single conviction ends your chances, when full disclosure plus the reporting form lets the board weigh it fairly.
Question 17: Certification and Signature
The final block asks you to certify a set of statements and sign. By signing, you certify that your information is true, that you will report any changes such as a new conviction before your license issues, that you authorize the department to verify your information and run a background check, and that you have read and complied with Title 54.1, Chapter 4 and the board’s regulations. Sign your name and write the Date in the signature block.
For example, Daniel signs his legal name and dates it 06/03/2026. The nuance is the promise to notify the board of any change before issuance, so a conviction or disciplinary action that happens after you mail the form still must be reported. The common mistake is mailing an unsigned application, which makes the package incomplete and resets your filing date when it is returned. The misconception is that the signature is a formality, when it is a sworn certification that carries revocation risk if you submitted false information.
Three Filled-Out Examples Using Real Scenarios
These three walkthroughs follow named applicants through the most common paths so you can see what goes in each major section. Each uses the board’s exact field names so you can match them to your own form.
Scenario 1 — Daniel, exam applicant, ABET degree, five years of experience:
| Form Section | What Daniel Enters |
|---|---|
| Method of Licensure | Checks By Examination, Trans 1005, $120.00 |
| Question 1 (held VA license) | No |
| Question 2 (Full Legal Name) | Carter, Daniel J. |
| Question 3 (ID number) | 123-45-6789 (SSN) |
| Question 4 (Date of Birth) | 07/22/1992 |
| Question 12 (Education) | Virginia Tech, BS, Civil Engineering, 05/19 |
| Question 14 (Qualification) | Checks B (ABET undergrad + 4 years) |
| Question 16 (Criminal history) | No to both parts |
| Question 17 (Signature) | Signs and dates 06/03/2026 |
Scenario 2 — Robert, comity applicant without an NCEES record:
| Form Section | What Robert Enters |
|---|---|
| Method of Licensure | Checks By Comity, Trans 1021, $120.00 |
| Question 1 (held VA license) | No |
| Question 2 (Full Legal Name) | Nguyen, Robert T. |
| Question 13 (Comity) | Yes; NCEES record? No, completes sub-section B |
| Question 13 license table | Maryland, PE, exam: Yes, License 54321, exp 12/2027 |
| Comity attachments | Good-standing letter (dated within 90 days), 3 reference forms |
| Question 15 (Discipline) | Yes; attaches Disciplinary Action Reporting Form |
| Question 16 (Criminal history) | No to both parts |
| Question 17 (Signature) | Signs and dates 06/03/2026 |
Scenario 3 — Priya, exam applicant, non-ABET degree, foreign-educated:
| Form Section | What Priya Enters |
|---|---|
| Method of Licensure | Checks By Examination, Trans 1005, $120.00 |
| Question 2 (Full Legal Name) | Sharma, Priya |
| Question 4 (Date of Birth) | 11/02/1988 |
| Question 5 (Former Name) | Leaves blank |
| Question 12 (Education) | University of Delhi, BS, Mechanical Engineering, 06/10 |
| Question 14 (Qualification) | Checks C (non-approved curriculum + EIT + 6 years), writes EIT number |
| TOEFL iBT | Encloses score report less than two years old |
| Verification of Exam | Encloses Verification of Examination and Licensure Form |
| Question 17 (Signature) | Signs and dates 06/03/2026 |
How to File the Completed Form
Virginia builds this application around a mailed package, because your references, verifications, and payment must travel together for the board to review them as one file. Mail the completed Form A416-0402LIC, all required attachments, and your payment to DPOR, Board for APELSCIDLA, 9960 Mayland Drive, Suite 400, Richmond, VA 23233-1485. The date the complete package is received is the date that counts for any exam application deadline, so mail early.
The fee depends on your method: $120.00 by examination (Trans 1005), $120.00 by comity (Trans 1021), or $460.00 for reinstatement (Trans 4020), and these initial fees are confirmed on the official application form. Pay by check or money order payable to the Treasurer of Virginia, or include a completed credit card insert; all fees are non-refundable. You can review payment rules on the DPOR fees and payments page.
Some supporting documents are sent directly to the board by third parties, not by you. Your three references mail their own Reference Forms, NCEES sends a Council Record straight to the board, and each state board mails its own Certification of Licensure. The board also offers expanded online license services for renewals and some new applications, so check whether your path can start online, but plan for mail as the default for the PE package. Keep a full photocopy of everything you mail and use tracked or certified mail so you have proof of filing and the delivery date.
What Happens After You File
Once your package arrives, board staff log the receipt date and check that the application, fee, and every required attachment are present. If something is missing, staff contact you, usually by the email you listed in question 8, and your file waits until you supply the missing piece. This is why a complete package and a monitored email address matter so much.
Every applicant must also pass a short open-book exam on the board’s own regulations and statutes. Under 18VAC10-20-85, after your application is received the board sends you this examination, which you complete and return for scoring, and the board notifies you only if you do not pass. The board then reviews your file on the Review Summary Sheet on page 7, and once approved, your license is issued and mailed to the address in question 6. Sofia uses the waiting period to confirm her references mailed their forms, which keeps her file from stalling.
Mistakes to Avoid When Filling Out the Form
- Checking more than one Method of Licensure box, which makes the board guess your path and holds the file.
- Enclosing a fee that does not match your method, so a $120 payment on a $460 reinstatement gets rejected.
- Using this form when your license lapsed 6 months to 5 years ago, which requires the separate Reinstatement Application.
- Entering a nickname instead of your full legal name, which breaks the match to your exam scores.
- Leaving the Social Security or DMV control number blank, which legally stops processing.
- Writing the date of birth in day-month-year order instead of MM/DD/YYYY, which flags your record.
- Putting a P.O. Box in the physical address in question 7, which the form forbids.
- Checking the wrong qualification box in question 14 for your years of experience, which forces a denial.
- Leaving the EIT designation number blank when boxes A, C, or D require it, which makes the qualification unprovable.
- Sending a resume instead of an Experience Verification Form, which earns zero experience credit.
- Submitting fewer than three current reference forms, which makes the package incomplete.
- Mailing an unsigned application, which resets your filing date when it is returned.
Do’s and Don’ts
Do: – Do download the current v7, 08/01/2025 form fresh, because old versions get bounced. – Do match your name, ID number, and birth date to your exam records, so the board can link your file. – Do gather all three references and your verification forms before mailing, since the package is reviewed as one set. – Do mail by certified or tracked mail, because the received date controls your deadline. – Do disclose every disciplinary action and conviction, since the board verifies your history. – Do keep a full photocopy of the package, so you can replace any lost document quickly.
Don’t: – Don’t check two licensure methods, because it stalls your file for clarification. – Don’t send a P.O. Box as your physical address, since the form rejects it. – Don’t guess at your qualification box, because the wrong experience floor triggers a denial. – Don’t use an email you rarely check, since the board contacts you there about gaps. – Don’t assume comity skips experience proof, because applicants without an NCEES record must verify it. – Don’t mail an old or unsigned form, because both make your package incomplete.
Pros and Cons of Filing on Your Own vs. With Help
| Filing Pro Se (On Your Own) | Filing With Professional Help |
|---|---|
| Pro: No extra cost beyond the board fee, so you keep more money. | Pro: A consultant or attorney can catch a wrong qualification box before you mail. |
| Pro: Full control over your own timeline and documents. | Pro: Help is valuable for tricky comity or disciplinary-disclosure cases. |
| Pro: The form’s information sheet lists requirements clearly for most applicants. | Pro: A pro can chase third-party documents like NCEES records faster. |
| Con: Easy to miss an attachment, which delays the whole package. | Con: Added fees on top of the non-refundable board fee. |
| Con: You bear the risk of a wrong field entry causing a denial. | Con: You still must gather your own references and verifications. |
FAQs
Do I have to mail the application, or can I file it online?
No. The initial PE package is built around mailing because references, verifications, and payment must arrive together; some renewals use online services, but plan to mail this application.
Do I pick more than one Method of Licensure box?
No. You check exactly one box at the top of page 3, since each method changes which attachments and fee you owe.
Do I write my maiden name anywhere on the form?
Yes. List every maiden or former name in question 5 so the board can match your transcript, FE score, and references to you.
Do I need an EIT number if I check qualification box B?
No. Box B (ABET undergraduate plus four years) does not require an EIT designation number, but boxes A, C, and D do.
Do I have to provide my Social Security number?
Yes. State law requires a Social Security number or a Virginia DMV control number on every license application, and leaving it blank stops processing.
Do comity applicants still need to verify experience?
Yes. Comity applicants without an NCEES Council Record must complete Experience Verification Forms and a Degree Verification Form; only those with an NCEES record can skip them.
Do I use this form if my Virginia license expired three years ago?
No. A license that lapsed between six months and five years uses the separate Reinstatement Application, not Form A416-0402LIC.
Do my three references mail their own forms?
Yes. References should be current (less than one year old), and the board expects them completed by licensed PEs who have known you at least a year.
Do I report a conviction that was expunged?
Yes. Question 16 covers any conviction regardless of adjudication, so disclose it and attach the Criminal Conviction Reporting Form to avoid a material omission.
Do I enter a P.O. Box in question 7?
No. The physical address in question 7 must be a real street address, while a P.O. Box is only accepted for the mailing address in question 6.
Do I take a Virginia-specific exam after applying?
Yes. Under 18VAC10-20-85 the board sends an open-book exam on its regulations and statutes that you complete and return for scoring.
Do foreign-educated applicants need a TOEFL score?
Yes. Applicants from non-English programs who did not graduate where English was the language of instruction submit a TOEFL iBT report less than two years old.
Do I get my fee back if I am denied?
No. All application fees are non-refundable, so confirm your qualification box and attachments before you mail.
Do I need to sign the form myself?
Yes. Your signature in question 17 is a sworn certification, and an unsigned application is treated as incomplete and returned.
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