Ohio PDF Forms
Homepage ➾ Blank Ohio 3011 Template
Jump Links

In Ohio, engineering and surveying firms looking to offer their services must navigate the process of obtaining a Certificate of Authorization, and the Ohio 3011 form is central to this endeavor. As outlined by the State Board of Registration for Professional Engineers and Surveyors, this form serves multiple purposes, including new application submissions, annual renewals, late annual renewals, addition of services, and name changes. Every application requires a notarized Certificate of Authorization application, alongside a separate affidavit of responsibility for designated professionals in charge. Additionally, an active charter or registration number from the Ohio Secretary of State is necessary for firms and any doing business as (DBA) names they utilize. Application fees vary based on the type of submission, ranging from $25 for annual renewals to $50 for new or additional service applications. The form emphasizes the importance of completeness and accuracy, as any omissions or errors can delay or prevent the approval process. Furthermore, it outlines the ramifications of not maintaining the authorization, including the firm's ineligibility to practice within the state, and it includes instructions for notifying the board about significant changes such as modifications in ownership or firm address. This form, therefore, plays a pivotal role in ensuring that only qualified, responsibly managed firms offer professional engineering and surveying services in Ohio.

Example - Ohio 3011 Form

OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

Certiicate of Authorization application instructions

3010

Each application must include…

•Notarized Certiicate of Authorization application: PES 3011 (Rev. 03/2011).

•Separate notarized Firm afidavit of responsibility for each professional engineer and professional surveyor designated in responsible charge: PES 3012 (Rev. 03/2011).

•An active Ohio Secretary of State charter or registration number authorizing the irm to do business in the state of Ohio. In addition, if a irm is using a doing business as (DBA) name, an active Ohio Secretary of State charter or registration number authorizing the irm’s DBA name to do business in the state of Ohio is needed.

•Appropriate application fee, using check or money order, and made payable in U.S. funds to treasurer, State of Ohio. NEW, ADDITIONAL SERVICE, or NAME CHANGE application fee is $50.00. ANNUAL RENEWAL application fee is $25.00. LATE ANNUAL RENEWAL application fee is $37.50.

Contacting Ohio’s Secretary of State

Contact information for the Ohio Secretary of State’s ofice is provided as a courtesy and may be subject to change.

•On the web www.sos.state.oh.us

•Telephone (877) 767-6446 U.S. toll free or (614) 466-2655 Columbus metro

important checklist information

•Application must be illed out completely. All ields are required unless otherwide indicated.

•Each full-time employee designated in responsible for, and responsible charge of, the professional engineering or pro- fessional surveying activities and decisions must ill out Firm afidavit of responsibility PES 3012 (Rev. 03/2011).

•The full-time employee must be a partner, manager, member, oficer or director and shall be registered in this state. Full- time, as deined in Ohio R.C. section 4733.16, means working more than 30 hours per week or working substantially all the engineering and/or surveying hours for a irm that holds a Certiicate of Authorization.

•The irm and/or its DBA must hold an active registration(s) with the Ohio Secretary of State.

•Applications without the correct fee or with incomplete information will be returned.

•All Certiicates of Authorization expire annually on June 30.

•Failure to renew the Certiicate of Authorization by the June 30 deadline renders the irm inactive and unauthorized to practice in the state of Ohio.

•Firms must notify the Board within 30 days of any change of the irm’s name or address.

•Firms are responsible for notifying the Board within 30 days of any changes of partners, managers, oficers, members, directors, shareholders, designated professional engineers, designated professional surveyors or change of ownership.

•Firms with a name change must ile a new application and include an application fee of $50.00.

•Firms adding an additional service must ile a new application and include an application fee of $50.00.

•Firms that do not wish to renew their Certiicate of Authorization must notify the Board in writing.

•A Certiicate of Authorization is not the same as an individual license to practice professional engineering or professional surveying in the state of Ohio.

Disclosure statement, privacy notice

Ohio’s State Board of Registration for Professional Engineers and Surveyors is requesting disclosure of information that is necessary to accomplish our statutory purposes required by Ohio Revised Code Chapter 4733. Failure to provide required information may result in your approval being delayed or your application being returned. Subject to certain Ohio Revised Code statutory exceptions, most documents and records maintained by the state of Ohio, including those maintained by the Board, are public records under Ohio law. This means that information submitted to us from you may be subject to disclosure if there is an oficial public records request.

Deliver completed Certiicate of Authorization application with afidavit(s) and fee to:

CERTIFICATE OF AUTHORIZATION

OHIO ENGINEERS AND SURVEYORS BOARD 50 W BROAD ST STE 1820

COLUMBUS OH 43215-5905

Questions?

EMAiL

pes.board@pes.ohio.gov

FAX

(614) 728-3059

U.S. tOLL FrEE

(877) 644-6364

PES 3010 (Rev. 03/2011) 20110301

Page 1 of 1

OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

Certiicate of Authorization application

3011

This application is for irms requiring a Certiicate of Authorization in order to provide, or offer to provide, professional engineering and/or professional surveying services in Ohio. Use this application for new, annual renewal and late annual renewal approvals; or for adding an additional service or a name change. All ields required unless otherwise indicated. The appropriate nonrefundable application fee must be included using check or money order and made payable in U.S. funds to treasurer, State of Ohio. An incomplete application — or an application without the appropriate fee — cannot be processed and will be returned.

Application for >> CHOOSE ONLY ONE

 

$50.00 NEW

$25.00 ANNUAL rENEWAL

$50.00 ADDitiONAL SErviCE

$37.50 LAtE ANNUAL rENEWAL

$50.00 NAME CHANGE

 

 

 

 

 

ENTER PREVIOUS FIRM NAME >>

 

 

 

Ohio Certiicate of Authorization number >> rEQUirED unless new irm

Professional services to be offered by irm

Engineering ONLY

Surveying ONLY

Engineering AND Surveying

Firm is registered with the Ohio Secretary of State as

Corporation

LLC

Partnership

Professional Association

 

 

Other DESCRIBE FIRM TYPE >>

 

 

 

 

 

 

 

Firm contact information >> ALL FiELDS rEQUirED UNLESS OTHERWISE INDICATED

An active Ohio Secretary of State (SOS) charter or registration number authorizing the irm to do business in the state of Ohio is required for each irm name and irm DBA name, if used. Contact the Secretary of State at www.sos.state.oh.us.

OHIO SOS NO.

FIRM NAME

 

 

 

 

 

 

OHIO SOS NO. >> rEQUirED with DBA FIRM DBA >> ONLY if using DBA (Doing Business As) name

 

 

 

 

 

 

CONTACT EMAIL ADDRESS

 

 

FEDERAL EMPLOYER ID NUMBER

 

 

 

 

 

 

LOCAtiON OFFEriNG OHiO PrOFESSiONAL SErviCES

ADDRESS LINE 1 >> DO NOt USE AGENt ADDrESS — PO Box is NOt acceptable

Indicate if change of address

TELEPHONE

ADDRESS LINE 2 >> ONLY if needed

CITY

COUNTY >> ONLY if Ohio address

STATE ZIP+4

MAiLiNG ADDrESS >> ONLY IF DIFFERENT THAN ABOVE LOCATION

Indicate if change of address

ADDRESS LINE 1

>> DO NOt USE AGENt ADDrESS

 

 

TELEPHONE

 

 

 

 

 

 

 

 

 

 

ADDRESS LINE 2

>> ONLY if needed

 

 

COUNTY >> ONLY if Ohio address

 

 

 

 

 

 

 

CITY

 

 

 

STATE ZIP+4

 

 

 

 

 

 

 

 

 

 

PES 3011 (Rev. 03/2011)

Page 1 of 4

OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

Certiicate of Authorization application

3011

Ownership If irm has more than four owners, attach additional pages with the same information.

1 FIRM OWNER NAME

 

FIRM OWNER ADDRESS

 

 

 

 

 

 

 

 

 

2 FIRM OWNER NAME

3 FIRM OWNER NAME

4 FIRM OWNER NAME

FIRM OWNER ADDRESS

FIRM OWNER ADDRESS

FIRM OWNER ADDRESS

registered individuals in responsible charge All professional services shall be executed by, or be under the direct supervision of, an Ohio-registered professional engineer or professional surveyor. Pursuant to Ohio R.C. section 4733.16, each corporation, limited liability company, partnership or professional association through which professional engineering or surveying services are offered or provided in Ohio, shall designate one or more directors, partners, managers, members or oficers employed by the irm full time as being responsible for and in responsible charge of the professional engineering or professional surveying activities and decisions of the irm.

Name, registration number, position of registrant in responsible charge iMPOrtANt! Each registrant

listed as in responsible charge must include an accompanying Firm Afidavit of responsibility (PES 3012). If more than four registrants are in responsible charge, attach additional pages with the same information.

1 PRINTED NAME >> include notarized PES 3012iNDiCAtE ALL tHAt APPLY

 

 

 

 

Director

Partner

Manager

 

 

Member

Oficer

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

2 PRINTED NAME >> include notarized PES 3012

iNDiCAtE ALL tHAt APPLY

 

 

 

 

 

Director

Partner

Manager

 

 

Member

Oficer

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 PRINTED NAME >> include notarized PES 3012

iNDiCAtE ALL tHAt APPLY

 

 

 

 

 

Director

Partner

Manager

 

 

Member

Oficer

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 PRINTED NAME >> include notarized PES 3012

iNDiCAtE ALL tHAt APPLY

 

 

 

 

 

Director

Partner

Manager

 

 

Member

Oficer

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

PES 3011 (Rev. 03/2011)

Page 2 of 4

OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

Certiicate of Authorization application

3011

Additional Ohio P.E., P.S. registrants employed by irm

List registrant name, registration number and irm location address of each Ohio P.E. or Ohio P.S. whose services are employed by the irm as of the date of this application. If needed, attach additional pages with the same information required below.

1 REGISTRANT NAME

 

 

 

FIRM LOCATION ADDRESS

 

 

 

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

2 REGISTRANT NAME

 

 

 

FIRM LOCATION ADDRESS

 

 

 

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

3 REGISTRANT NAME

 

 

 

FIRM LOCATION ADDRESS

 

 

 

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

4 REGISTRANT NAME

 

 

 

FIRM LOCATION ADDRESS

 

 

 

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

5 REGISTRANT NAME

 

 

 

FIRM LOCATION ADDRESS

 

 

 

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

6 REGISTRANT NAME

 

 

 

FIRM LOCATION ADDRESS

 

 

 

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

7 REGISTRANT NAME

 

 

 

FIRM LOCATION ADDRESS

 

 

 

 

OHIO P.E. NUMBER

OHIO P.S. NUMBER

 

 

 

 

 

 

 

Disclosure statement, privacy notice

Ohio’s State Board of Registration for Professional Engineers and Surveyors is requesting disclosure of information that is necessary to accomplish our statutory purpose required by Ohio R.C. Chapter 4733. Failure to provide required information may result in your application approval being delayed or your application being returned.

Subject to certain Ohio Revised Code statutory exceptions, most documents and records maintained by the state of Ohio, including those maintained by the Board, are public records under Ohio law. This means that information submitted to us from you may be subject to disclosure if there is an oficial public records request.

PES 3011 (Rev. 03/2011)

Page 3 of 4

OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

Certiicate of Authorization application

3011

Notarized afidavit

STATE OF

AFFiANt

I,[ PRINTED NAME ] ,

being duly sworn, or afirmed, depose and say that I am duly authorized to prepare this application for a Certiicate of Authorization and attest, to the best of my knowledge and belief, that the information contained herein is true.

DECLArAtiON in accordance with section 2909.32 (A)(2)(b) of the Ohio revised Code

For each question, indicate either “yes” or “no” in the space provided. Responses must be truthful to the best of your knowledge.

 

 

YES

NO

1. Are you a member of an organization on the U.S. Department of State Terrorist Exclusion List?

 

 

2.

Have you used any position of prominence you have with any country to persuade others to support an organization

YES

NO

 

on the U.S. Department of State Terrorist Exclusion List?

 

 

3.

Have you knowingly solicited funds or other things of value for an organization on the U.S. Department of State

YES

NO

 

Terrorist Exclusion List?

 

 

4.

Have you solicited any individual for membership in an organization on the U.S. Department of State Terrorist

YES

NO

 

Exclusion List?

 

 

5.Have you committed an act that you know, or reasonably should have known, affords “material support or resources” to an organization on the U.S. Department of State Terrorist Exclusion List? .......................................

6.Have you hired or compensated a person you knew to be a member of an organization on the U.S. Department of State Terrorist Exclusion List, or a person you knew to be engaged in planning, assisting, or carrying out an act of terrorism?....................................................................................................................................................

YES NO

YES NO

AFFIANT SIGNATURE

AFFIANT TITLE

DATE SIGNED

NOtArY

Subscribed and sworn, or afirmed, to me this

 

day of

 

,

 

.

 

 

 

 

 

Witness my hand and seal hereon.

 

 

 

 

NOTARY SIGNATURE

 

 

 

 

MY COMMISSION EXPIRES

 

 

 

 

 

 

 

 

 

L

 

A

S

E

 

Y

 

R

A

T

ON

N

O

 

 

 

 

T

 

A

 

R

 

 

Y

 

E

S

 

 

L

A

 

 

 

Deliver completed Certiicate of Authorization application with afidavit(s) and fee to:

CERTIFICATE OF AUTHORIZATION

OHIO ENGINEERS AND SURVEYORS BOARD 50 W BROAD ST STE 1820

COLUMBUS OH 43215-5905

Questions?

EMAiL

pes.board@pes.ohio.gov

FAX

(614) 728-3059

U.S. tOLL FrEE

(877) 644-6364

PES 3011 (Rev. 03/2011)

Page 4 of 4

OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

Firm afidavit of responsibility

3012

Complete a separate Firm afidavit of responsibility for each professional engineer or professional surveyor who is designated in responsible charge. Afidavits of responsibility must accompany all Certiicate of Authorization applications.

Firm name, Ohio Board Certiicate of Authorization number

FIRM NAME >> SAME NAME as on Certiicate of Authorization application OHIO BOARD CERTIFICATE OF AUTHORIZATION NUMBER >> 5-DiGitS

Professional services to be offered by irm

Engineering ONLY

Surveying ONLY

Engineering AND Surveying

Ohio registrant designated in responsible charge

OHIO P.E., P.S. OR DUAL (P.E. AND P.S.) REGISTRANT DESIGNATED IN RESPONSIBLE CHARGE

P.E. NUMBER

 

P.S. NUMBER

 

 

 

 

 

 

Notarized afidavit

STATE OF

AFFiANt

I,[ AFFIANT PRINTED NAME ] ,

being the duly sworn, or afirmed, afiant; state that I am a registered professional engineer and/or a registered professional surveyor in the state of Ohio as indicated above; that I am a full time employee of the above-named irm; that I am in responsible charge for and in responsible charge of the professional engineering or professional surveying activities and decisions of this irm; and that I meet the requirements pursuant to Ohio Revised Code Chapter 4733 for such designation.

AFFIANT SIGNATURE

DATE SIGNED

NOtArY

Subscribed and sworn, or afirmed, to me this

 

day of

 

,

 

.

 

 

 

 

 

Witness my hand and seal hereon.

 

 

 

 

NOTARY SIGNATURE

 

 

 

 

MY COMMISSION EXPIRES

 

 

 

 

 

 

 

 

 

L

 

A

S

E

 

Y

 

R

A

T

ON

N

O

 

 

 

 

T

 

A

 

R

 

 

Y

 

E

S

 

 

L

A

 

 

 

Deliver completed Certiicate of Authorization application with afidavit(s) and fee to:

CERTIFICATE OF AUTHORIZATION

OHIO ENGINEERS AND SURVEYORS BOARD 50 W BROAD ST STE 1820

COLUMBUS OH 43215-5905

Questions?

EMAiL

pes.board@pes.ohio.gov

FAX

(614) 728-3059

U.S. tOLL FrEE

(877) 644-6364

PES 3012 (Rev. 03/2011) 20110301

Page 1 of 1
⇩ Ohio 3011 PDF

Document Properties

Fact Detail
Form Type Ohio Certificate of Authorization Application Form (PES 3011)
Revision Date March 2011
Governing Body Ohio's State Board of Registration for Professional Engineers and Surveyors
Application Requirement Includes notarized Certificate of Authorization application and Firm affidavit of responsibility for designated professionals.
Active Registration Requires an active Ohio Secretary of State charter or registration number for the firm and any DBA names.
Application Fees New, Additional Service, or Name Change application fee is $50.00. Annual Renewal is $25.00; Late Annual Renewal is $37.50.
Governing Law Regulated under Ohio Revised Code Chapter 4733.

Detailed Instructions for Using Ohio 3011

Filling out the Ohio 3011 form is a necessary step for firms looking to provide professional engineering and/or surveying services legally in the state of Ohio. The process involves detailed information about the firm, its responsible charge, and the notarization of the application. An accurate and thorough submission helps ensure swift processing, enabling firms to operate without legal impediments. Here’s how to complete the form:

  1. Start by determining the type of application: new, annual renewal, late annual renewal, additional service, or name change. Check the appropriate box and include the previous firm name if applicable.
  2. Fill in your Ohio Certificate of Authorization number if you're not a new firm.
  3. Detail the professional services your firm will offer: engineering only, surveying only, or both.
  4. Enter your firm's registration type with the Ohio Secretary of State (SOS), choosing from Corporation, LLC, Partnership, Professional Association, or Other. Describe further if you select "Other."
  5. Provide complete firm contact information, including an active Ohio SOS charter or registration number, and if applicable, the number for your DBA (Doing Business As) name.
  6. For the ownership section, list up to four owners of the firm, attaching additional pages if there are more than four. Include the necessary details as indicated.
  7. Designate individuals in responsible charge of professional engineering or surveying activities and decisions. Complete the information for up to four, attaching additional pages if needed. Remember, each designated individual must submit a notarized PES 3012 form.
  8. List additional Ohio P.E. (Professional Engineer) or P.S. (Professional Surveyor) registrants employed by the firm, providing their name, firm location address, and registration numbers.
  9. Duly authorized individuals must fill out the notarized affidavit section, affirming the truthfulness of the application and acknowledging the disclosure statement and privacy notice.
  10. Review the declaration section, answering yes or no to the questions related to the U.S. Department of State Terrorist Exclusion List.
  11. Sign and date the document before a notary, who will also sign and seal the form.
  12. Prepare a check or money order for the appropriate fee, payable in U.S. funds to the Treasurer, State of Ohio: $50.00 for a new application, an additional service, or a name change; $25.00 for an annual renewal; or $37.50 for a late annual renewal.
  13. Mail the completed form, accompanied by the notarized PES 3012 form(s) for each designated individual in responsible charge and the correct fee, to the address provided on the form.

After submitting the Ohio 3011 form, firms should expect to wait for processing. During this time, the Ohio Board will review the application for completeness and accuracy. Approval means your firm will be authorized to offer professional engineering and/or surveying services in Ohio, adhering to the state’s rigorous standards to ensure public safety and ethical practice..

What You Should Know About Ohio 3011

What is the Ohio 3011 form used for?

The Ohio 3011 form is designed for firms requiring a Certificate of Authorization to provide or offer to provide professional engineering and/or professional surveying services in the state of Ohio. It is utilized for new applications, annual renewals, late annual renewals, adding additional services, or for name changes associated with the firm's authorization.

What should be included with the Ohio 3011 application?

Submitting the Ohio 3011 application requires several components: a notarized Certificate of Authorization application (PES 3011), a separate notarized Firm affidavit of responsibility for each professional in charge (PES 3012), an active Ohio Secretary of State charter or registration number, and the appropriate non-refundable application fee by check or money order payable in U.S. funds to the Treasurer, State of Ohio.

How can I contact the Ohio Secretary of State for a charter or registration number?

The Ohio Secretary of State’s office can be reached through their website at www.sos.state.oh.us or by telephone at (877) 767-6446 (U.S. toll-free) or (614) 466-2655 (Columbus metro area).

What are the fees associated with the Ohio 3011 form?

The application fees vary depending on the type of application: $50.00 for new applications, additional services, or name changes; $25.00 for annual renewals; and $37.50 for late annual renewals. These fees need to be made payable to the Treasurer, State of Ohio, in U.S. funds.

How is the "in responsible charge" individual determined?

Under Ohio R.C. section 4733.16, a firm must designate one or more directors, partners, managers, members, or officers employed full-time who are registered in the state as being responsible for and in charge of the professional engineering or professional surveying activities and decisions of the firm.

What happens if I fail to renew the Certificate of Authorization by the due date?

Failure to renew the Certificate of Authorization by the annual deadline of June 30 renders the firm inactive and unauthorized to practice engineering or surveying in the state of Ohio. The firms need to ensure timely renewal to maintain their authorization.

Are there any requirements for notifying the Board of changes?

Yes, firms must notify the Board within 30 days of any changes in the firm’s name or address, changes of partners, managers, officers, members, directors, shareholders, designated professionals, or changes in ownership to ensure the firm’s registration stays updated.

What if a firm decides not to renew its Certificate of Authorization?

Firms that do not wish to renew their Certificate of Authorization must notify the Board in writing. This is an important step to ensure proper closure of the firm’s authorization status with the Board.

Common mistakes

When filling out the Ohio 3011 form, people commonly make a number of mistakes. Some of these errors can cause delays in processing the application, or even result in its rejection. Here are eight common missteps:

  1. Not providing a notarized Certificate of Authorization application (PES 3011). It's mandatory to have the application notarized to verify its authenticity.
  2. Omitting separate notarized Firm affidavit of responsibility (PES 3012) for each designated professional. Each designated employee in responsible charge must complete and notarize this form.
  3. Failure to include an active Ohio Secretary of State charter or registration number for the firm or its DBA (Doing Business As) name. This number is crucial for verifying the firm’s legal status to do business in Ohio.
  4. Submitting the application without the appropriate application fee or using an incorrect fee amount. The exact fee must accompany the application for processing.
  5. Leaving fields incomplete on the application. All requested information is required unless specifically indicated as optional.
  6. Not updating the Board within 30 days regarding any changes in the firm’s name, address, or designated professionals. Timely updates are critical for maintaining the validity of the Certificate of Authorization.
  7. Using a P.O. Box as the firm’s location offering professional services in Ohio. A physical address where the services are offered must be provided.
  8. Not attaching additional pages when the firm has more than four owners or if more than four registrants are in responsible charge, as required by the form’s instructions.

Avoiding these mistakes can help ensure the application process is smooth and that the firm can legally offer professional engineering or surveying services in Ohio.

Documents used along the form

When applying for a Certificate of Authorization in Ohio, businesses are required to navigate through a variety of paperwork to ensure they meet all legal requirements. While the Ohio 3011 form is a crucial component in this process, several other forms and documents often accompany it to complete the application package. Understanding these accompanying materials can help streamline the application procedure:

  • Ohio 3010 Form: These instructions guide the applicant through the Certificate of Authorization application process, ensuring that all steps are correctly followed and all necessary information is provided.
  • Ohio 3012 Form: This notarized Firm Affidavit of Responsibility must be completed by each professional engineer and professional surveyor designated in responsible charge. It confirms their role and commitment to adhere to professional standards.
  • Charter or Registration with the Ohio Secretary of State: An active charter or registration number is mandatory for a firm to do business in Ohio. This includes a number for any DBA (Doing Business As) names the firm may use.
  • Application Fee: The application process requires an appropriate fee, which must be paid via check or money order in U.S. funds to the treasurer of the State of Ohio. The amount varies depending on the application type.
  • Notarized Affidavit: Found on the last page of the Ohio 3011 form, this affidavit must be filled out by an authorized agent of the firm, attesting to the truthfulness of the application’s content.
  • Additional Registrant List: If the firm employs more than the individuals listed in the initial application, a supplementary list of all additional Ohio P.E. and P.S. registrants employed by the firm, along with their registration numbers, must be attached.

Collectively, these documents and forms ensure that the firm provides all necessary information for the Ohio State Board of Registration for Professional Engineers and Surveyors to review and approve their Certificate of Authorization. Accurately completing and compiling these documents can significantly impact the timeline and success of the application process, facilitating a smoother path to obtaining the necessary authorizations to operate within the state’s legal and professional frameworks.

Similar forms

The Ohio 3011 form, essential for firms needing authorization to provide engineering and/or surveying services, mirrors the structure and purpose of other professional license applications across various states. For instance, similar to the application process for law firms seeking a Certificate of Authority in various jurisdictions, applicants must supply notarized documents, a fee, and specific information about the firm's legal status and individuals in responsible charge. This ensures that only those entities that meet defined criteria and oversight can legally offer their professional services, a framework that emphasizes public safety and integrity within the professional community.

Moreover, the 3011 form shares similarities with medical practice applications. Doctors or healthcare entities are also required to submit detailed applications, often including a fee and detailed information regarding the practitioners and the entity's legal standing. This parallels the engineering and surveying firms’ need to provide affidavits of responsibility for their professionals, underscoring the emphasis on accountability and competence within fields where public welfare is directly impacted.

Additionally, educational institutions applying for authorization or accreditation must submit detailed documents to respective bodies, akin to the 3011 form's requirements for firms seeking to provide engineering or surveying services. These applications typically include details on the institution's governance, faculty qualifications, and the legal authority to operate, drawing a parallel to the compliance and oversight mechanisms seen in the professional licensing processes.

Finally, the Certified Public Accountant (CPA) license applications bear resemblance to the Ohio 3011 form. CPAs must submit proof of their qualifications, including education, experience, and passing the CPA examination, along with their business’s legal documentation if they're applying for a firm’s licensure. This process, much like that for engineering and surveying firms, ensures only those entities and individuals who meet rigorous standards of professional competence are allowed to practice, safeguarding public interest.

Dos and Don'ts

When tackling the Ohio 3011 form for your Certificate of Authorization, it's crucial to navigate the process with precision to ensure your firm is in compliance and authorized to offer professional engineering and surveying services in Ohio. Here are guidelines to help you smoothly navigate the application process.

Do:

  1. Ensure that each section of the application is filled out completely and accurately. Leaving fields blank or providing incomplete information can lead to delays or the return of your application.

  2. Have the application and Firm affidavit of responsibility (PES 3012) for each professional in charge notarized. This step is a must to validate the authenticity of the declarations made.

  3. Include the active Ohio Secretary of State charter or registration number for both your firm and any DBA (Doing Business As) names used. This confirms your legal authority to operate in Ohio.

  4. Attach the appropriate application fee with your application, using a check or money order made payable in U.S. funds to the treasurer, State of Ohio. Correct fees ensure your application is processed without unnecessary delays.

Don't:

  1. Submit the application without double-checking that all information is up to date and accurate. Mistakes or outdated information can cause significant delays in the processing of your application.

  2. Forget to renew your Certificate of Authorization by the June 30 deadline. Failing to renew on time renders your firm inactive and unauthorized to practice in Ohio.

  3. Overlook notifying the Board within 30 days of any changes such as the firm's name, address, or changes in the designated professionals in responsible charge. Timely notifications are essential for keeping your firm's authorization current.

  4. Assume the application fee is negotiable or could be waived. The fees are mandatory and the application will not be processed without the correct amount.

By adhering to these guidelines, you can ensure your firm navigates the application process for the Ohio 3011 form effectively, maintaining compliance with state regulations and continuing to offer professional services without interruption.

Misconceptions

Understanding the Ohio 3011 form and its requirements is crucial for businesses in the engineering and surveying fields. However, some misconceptions can lead to mistakes and delays in the application process. Let's clarify some of the most common misunderstandings.

  1. Any employee can fill out the Firm affidavit of responsibility (PES 3012). This is incorrect. Only designated professional engineers and professional surveyors in responsible charge of professional activities and decisions need to complete this affidavit. These individuals must be registered in Ohio and employed full-time by the firm in a capacity such as partner, manager, member, officer, or director.

  2. A Certificate of Authorization is the same as an individual license for engineers or surveyors. This is a common error. The Certificate of Authorization allows firms to offer engineering or surveying services in Ohio. Individuals who perform these services must have their own professional licenses.

  3. You can use a P.O. Box for the firm's address on the application. This statement is not accurate. The application requires a physical location offering professional services in Ohio. A P.O. Box is not acceptable for this purpose as the Board needs a verifiable physical location for the firm's operation.

  4. There's no need to notify the Board about changes once the Certificate is issued. On the contrary, firms must inform the Board within 30 days of any significant changes, including changes to the firm’s name, address, changes of partners, managers, officers, members, directors, shareholders, designated engineers, or surveyors, and ownership changes. Firms also need to file a new application with the required fee for a name change or when adding additional services.

  5. The application fee covers all related services for the authorization period. Actually, there are separate fees for new applications, annual renewals, late annual renewals, additional services, and name changes. Incomplete submissions or those lacking the correct fee will be returned, potentially delaying the authorization process.

It's essential for firms to carefully review the Ohio 3011 form and its accompanying documents to ensure compliance with all requirements. Misunderstanding these requirements can result in delays or the inability to legally offer professional engineering or surveying services in Ohio.

Key takeaways

  • When submitting the Ohio 3011 form for a Certificate of Authorization, ensuring that the application is fully completed and notarized is crucial. Any missing information could lead to the application being returned.

  • Each firm must have an active Ohio Secretary of State charter or registration number. This also applies if the firm is operating under a DBA (Doing Business As) name, which must also be authorized to do business in Ohio.

  • The application must be accompanied by the appropriate nonrefundable fee, payable via check or money order in U.S. funds to the Treasurer, State of Ohio. The fees vary depending on the type of application: new, annual renewal, late annual renewal, additional service, or name change.

  • Firms must designate and include separate notarized affidavits of responsibility (PES 3012) for each professional engineer and professional surveyor in responsible charge of professional activities and decisions.

  • The application process requires the disclosure of specific information as per Ohio Revised Code Chapter 4733. Failure to provide the necessary information may result in delays or the return of the application.

  • All Certificates of Authorization expire annually on June 30. Failure to renew by this deadline will render the firm inactive and unauthorized to practice in Ohio, highlighting the importance of timely renewal.

  • It is mandatory for firms to notify the Ohio State Board of Registration for Professional Engineers and Surveyors within 30 days regarding any changes in the firm's name, address, or changes among partners, managers, officers, members, directors, shareholders, or designated professionals. This ensures that the Board's records are up to date and can prevent potential issues related to the firm's authorization status.

Please rate Blank Ohio 3011 Template Form
4.65
Incredible
186 Votes

Common PDF Documents

Ohio School District Tax - Business owners are required to report gross sales, deductible exempt sales, and taxable sales on the form.

Ohio Bmv Power of Attorney - The Ohio BMV 4526 form, a tool to aid residents in legally obtaining free plates for their boat trailers, with a focus on documentation and eligibility for renewal or new issuance.

Ohio Pes 3011 - Firms must adhere to all instructions to ensure successful registration and authorization to offer professional services.