Fingerprint Card Mailing Request Form

ONLY Certified Engineering Geologist (CEG), Certified Hydrogeologist (CHG), and Professional Geophysicist (PGP) applicants should use the form below to request fingerprint cards. Mail the two (2) completed and signed fingerprint cards back to the Board along with your completed application package and fees (including the $49 fingerprint card fee).

DO NOT use the form below if you are an Engineer-in-Training (EIT)/Land Surveyor-in-Training (LSIT)/Geologist-in-Training (GIT), Professional Engineer (PE), Geotechnical Engineer (GE), Structural Engineer (SE), Professional Land Surveyor (PLS), or Professional Geologist (PG) applicant (Excluding: CEG, CHG, and PGP). You will be mailed two (2) traditional fingerprint cards after you have submitted your application and fees using BPELSG Connect. DO NOT submit a separate request for fingerprint cards; doing so may delay the processing of your application. Mail the two (2) completed and signed fingerprint cards back to the Board along with a copy of your receipt from BPELSG Connect.


Fields marked with an asterisk (*) are mandatory.

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