Official SealDepartment of Budget and Management


#19-003248-0001
Supplemental Questionnaire

Last Name
First Name
1

Please explain in detail your work experience in the construction, installation, repair, adjustment or inspection of elevators, escalators, moving walks, lifts, hoists or other related devices.

2

Describe in detail any investigative and report writing experience you possess; and provide two examples of your report writing ability/experience.

3

Do you have a Qualified Elevator Inspector (QEI) certification and/or are you a licensed elevator mechanic? If yes, please indicate certificate or license. If no, indicate N/A.

4

Do you possess a valid driver's license and Do you have reliable transportation, available to you at all times?

Yes No
5

Please detail your level of computer/tablet experience.


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