Business & Professional Regulation › DBPR Departmental › Chapter 61-35 · Departmental Forms

Rule 61-35.021. Professional Geologist Departmental Forms

Amended March 7, 2022 (current)

The following Professional Geologist forms can be obtained at www.myfloridalicense.com/dbpr/ or by contacting the Department of Business and Professional Regulation, 2601 Blair Stone Road, Tallahassee, FL 32399-0790, (850)487-1395:

(1) Any person desiring to apply for licensure as a Professional Geologists, shall submit a completed Form DBPR PG 4701, Application for Licensure, effective January 2022, adopted and incorporated by reference at, http://www.flrules.org/Gateway/reference.asp?No=Ref-13992.

(2) Any person desiring to apply for registration of qualifying geologist shall submit a completed Form DBPR PG 4702, Registration of Geology Business, effective January 2022, adopted and incorporated by reference at, http://www.flrules.org/Gateway/reference.asp?No=Ref-13993.

(3) Any person desiring to apply for reexamination for Professional Geologist, shall submit a completed Form DBPR PG 4703, Application for Reexamination for Professional Geologist, effective January 2020, adopted and incorporated by reference at, http://www.flrules.org/Gateway/reference.asp?No=Ref-12497.

(4) Any person desiring to make changes to an existing license, shall submit a completed Form DBPR PG 4704, Maintenance Form/ Status Change, effective January 2020, adopted and incorporated by reference, http://www.flrules.org/Gateway/reference.asp?No=Ref-12498.

(5) Any person desiring to reinstate a null and void license shall submit a completed Form DBPR PG 4705, Application for Licensure from Null and Void, effective January 2020, adopted and incorporated by reference at, http://www.flrules.org/Gateway/reference.asp?No=Ref-12499.

(6) Any person desiring to register as a Geologist in Training shall submit a completed Form DBPR PG 4706, Application for Geologist in Training, effective January 2020, adopted and incorporated by reference at, http://www.flrules.org/Gateway/reference.asp?No=Ref-12500.

(7) Any person desiring to apply for reexamination of Geologist in Training, shall submit a completed Form DBPR PG 4707, Application for Reexamination for Geologist in Training, effective January 2020, adopted and incorporated by reference at, http://www.flrules.org/Gateway/reference.asp?No=Ref-12501. Rulemaking Authority 455.203, 455.213, 455.271, 492.104, 492.105, 492.106, 492.108, 492.111 FS. Law Implemented 492.104, 492.105, 492.1051, 492.106, 492.108, 492.111, 492.1101, 455.213, 455.217, 455.271, 559.79 FS, History‒New 2-16-21, Amended 3-7-22.