The Ohio PES 3011 form is a critical document for companies seeking a Certificate of Authorization to offer professional engineering and/or surveying services within the state of Ohio. Managed by the State Board of Registration for Professional Engineers and Surveyors, the form requires not only the application itself but also a separate notarized Company Affidavit of Responsibility for each professional in charge. Companies must also ensure they have an active Ohio Secretary of State charter or registration number, and if applicable, for their doing business as (DBA) name, alongside the appropriate application fee.
In the state of Ohio, companies seeking to offer or provide professional engineering and/or surveying services must navigate through a comprehensive application process, as outlined in the Ohio Pes 3011 form, facilitated by the State Board of Registration for Professional Engineers and Surveyors. This requisite form, an essential step for obtaining a Certificate of Authorization, demands meticulous attention to detail, including a notarized certificate of authorization application (PES 3011) alongside separate notarized company affidavits of responsibility (PES 3012) for each professional entrusted with management or oversight roles. The process underscores the importance of an active charter or registration number from the Ohio Secretary of State, validating the company's or its DBA's (Doing Business As) legitimacy to operate within Ohio. Additionally, applicants are mandated to submit the correct application fee, contingent on the nature of the application – be it for new applications, annual renewals, late renewals, name changes, or adding new services. Failure to adhere to these guidelines, including mandatory annual renewals by June 30 and prompt notification of any changes in company details or ownership, can invalidate the authorization, highlighting the protocol's rigor in ensuring the proficiency and accountability of engineering and surveying services within the state.
OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS
3010
Certiicate of Authorization application instructions
Each application must include…
•Notarized Certiicate of Authorization application: PES 3011.
•Separate notarized Company afidavit of responsibility for each professional engineer and professional surveyor
designated in responsible charge: PES 3012.
•An active Ohio Secretary of State charter or registration number authorizing the company to do business in the state of Ohio. In addition, if a company is using a doing business as (DBA) name, an active Ohio Secretary of State charter or registration number authorizing the company’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, NAME CHANGE, or ADDING DBA 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 otherwise indicated.
•Each full-time employee designated in responsible for, and responsible charge of, the professional engineering or professional surveying activities and decisions must ill out Company afidavit of responsibility PES 3012.
•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 company that holds a Certiicate of Authorization.
•The company 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 company inactive and unauthorized
to practice in the state of Ohio.
•Companies must notify the Board within 30 days of any change of the company’s name or address.
•Companies 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.
•Companies with a name change must ile a new application and include an application fee of $50.00.
•Companies adding an additional service must ile a new application and include an application fee of $50.00.
•Companies 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 your completed Certiicate of Authorization application with afidavit(s) and fee to the Board’s address below.
CErTifiCATE Of AUTHOrizATiON
STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS 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. 03/2012) 20120307 Page 1 of 1
OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS BOARD USE ONLY
3011
Certiicate of Authorization application
This application is for companies 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.
Application for >> CHOOSE ONLY ONE
$25.00 ANNUAl rENEWAl
$50.00 NEW
$50.00 AddiTiONAl SErviCE
$37.50 lATE ANNUAl rENEWAl
$50.00 NAME CHANgE or AddiNg dBA (doing Business As)
ENTER PREVIOUS COMPANY NAME >>
Ohio Certiicate of Authorization number >> rEQUirEd unless new company professional services to be offered by company
Engineering ONlY
Surveying ONlY
Engineering AND Surveying
Company is registered with the Ohio Secretary of State as
Corporation
LLC
Partnership
Professional Association
Other DESCRIBE COMPANY TYPE >>
Company contact information >> All fiEldS rEQUirEd UNLESS OTHERWISE INDICATED
An active Ohio Secretary of State (SOS) charter or registration number authorizing the company to do business in the state of Ohio is required for each company name and company DBA name, if used.
OHIO SOS NO.
COMPANY NAME
OHIO SOS NO. >> rEQUirEd with dBA COMPANY DBA >> ONlY if using dBA (doing Business As) name
CONTACT EMAIL ADDRESS
FEDERAL EMPLOYER ID NUMBER
lOCATiON OffEriNg OHiO prOfESSiONAl SErviCES
Indicate if change of address
ADDRESS LINE 1 >> dO NOT USE AgENT AddrESS — pO Box is NOT acceptable
TELEPHONE
ADDRESS LINE 2 >> ONlY if needed
COUNTY >> ONlY if Ohio address
CITY
STATE ZIP+4
MAiliNg AddrESS >> ONLY IF DIFFERENT THAN ABOVE LOCATION
ADDRESS LINE 1 >> dO NOT USE AgENT AddrESS
PES 3011 (Rev. 03/2012) 20120307
Page 1 of 4
Ownership If company has more than ive owners, attach additional pages with the same information.
1 COMPANY OWNER NAME
COMPANY OWNER ADDRESS
2 COMPANY OWNER NAME
3 COMPANY OWNER NAME
4 COMPANY OWNER NAME
5 COMPANY OWNER NAME
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 company full time as being responsible for and in responsible charge of the professional engineering or professional surveying activities and decisions of the company.
Name, registration number, position of registrant in responsible charge
iMpOrTANT! Each registrant listed as in responsible charge must include an accompanying Company Afidavit of respon- sibility (PES 3012). If more than four registrants are in responsible charge, attach additional pages with the same information.
1 PRINTED NAME >> include notarized pES 3012
iNdiCATE All THAT ApplY
Director
Member
OHIO P.E. NUMBER OHIO P.S. NUMBER
Partner
Manager
Oficer
2 PRINTED NAME >> include notarized pES 3012
3 PRINTED NAME >> include notarized pES 3012
4 PRINTED NAME >> include notarized pES 3012
Page 2 of 4
Additional Ohio p.E., p.S. registrants employed by company
List registrant name, registration number and company location address of each Ohio P.E. or Ohio P.S. whose services are employed by the company as of the date of this application. If needed, attach additional pages with the same information required.
1 REGISTRANT NAME
COMPANY LOCATION ADDRESS
OHIO P.E. NUMBER
OHIO P.S. NUMBER
2 REGISTRANT NAME
3 REGISTRANT NAME
4 REGISTRANT NAME
5 REGISTRANT NAME
6 REGISTRANT NAME
7 REGISTRANT NAME
8 REGISTRANT NAME
9 REGISTRANT NAME
Page 3 of 4
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.
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.
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 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 Terrorist Exclusion List? ............................................................................................................................................
4.Have you solicited any individual for membership in an organization on the U.S. Department of State Terrorist 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?....................................................................................................................................................
AFFIANT SIGNATURE
AFFIANT TITLE
DATE SIGNED
YES NO
NOTArY
Subscribed and sworn, or afirmed, to me this
day of
,
.
Witness my hand and seal hereon.
NOTARY SIGNATURE
MY COMMISSION EXPIRES
L N
E
A
O
S
T
Y
R
N
L
EMAIL
PES 3011 (Rev. 03/2012) 20120307 Page 4 of 4
Company afidavit of responsibility
Complete a separate Company 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.
Company name, Ohio Board Certiicate of
Authorization number
BOARD USE ONLY
3012
COMPANY NAME >> SAME NAME as on Certiicate of Authorization application
OHIO CERTIFICATE OF AUTHORIZATION NUMBER >> 5-DIGItS
Professional services to be offered by company
Engineering ONLY
Surveying ONLY
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
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 company; that I am in responsible charge for and in responsible charge of the professional engineering or professional surveying activities and decisions of this company; and that I meet the requirements pursuant to Ohio Revised Code Chapter 4733 for such designation.
AFFIANT SIGNATUREDATE SIGNED
NOtArY
ON
Deliver your completed Company afidavit of responsibility to the Board’s address below.
cErtIfIcAtE Of AUthOrIzAtION
STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS
50 W BROAD ST STE 1820 COLUMBUS OH 43215-5905
U.S. tOLL frEE
PES 3012 (Rev. 03/2012) 20120307 Page 1 of 1
Preparing and submitting the Ohio PES 3011 form is a crucial step for companies seeking authorization to offer professional engineering and/or professional surveying services within the state. It marks the formal process of getting recognized by Ohio's State Board of Registration for Professional Engineers and Surveyors, ensuring compliance with state regulations. The form is used for a variety of purposes including new applications, annual renewals, late annual renewals, additional services, name changes, and adding a DBA (Doing Business As). Adhering to the process diligently ensures that the application is processed without delays, helping businesses to operate legally and professionally in Ohio.
Upon submission, the Board will review your application for completeness and compliance with Ohio laws governing professional engineering and surveying. Provided that all documentation is in order and fees are correctly submitted, your application will be processed. Should there be any discrepancies or missing information, the Board will contact you for clarification or additional documentation. Successfully obtaining or renewing your Certificate of Authorization allows your company to legally engage in engineering and/or surveying services in Ohio, underlining the importance of accurate and prompt submission of the PES 3011 form.
What is required to complete the PES 3011 Certificate of Authorization application?
To successfully complete the PES 3011 application, the company must submit a notarized Certificate of Authorization application (PES 3011), a separate notarized Company affidavit of responsibility (PES 3012) for each professional engineer and surveyor designated in responsible charge, and have an active Ohio Secretary of State charter or registration number. Additionally, if utilizing a DBA (Doing Business As) name, an active registration for that name is also required. An application fee, payable to Treasurer, State of Ohio, must accompany the application.
What are the application fees for the PES 3011 form?
The application fees for the PES 3011 form vary based on the nature of the application: $50.00 for a new application, adding services, name change, or adding a DBA; $25.00 for an annual renewal; and $37.50 for a late annual renewal. It is crucial to note that these fees are nonrefundable and should be made payable in U.S. funds to the Treasurer, State of Ohio.
What happens if my company doesn't renew its Certificate of Authorization by the June 30 deadline?
If a company fails to renew its Certificate of Authorization by the June 30 deadline, it becomes inactive and unauthorized to practice professional engineering or surveying services in the state of Ohio. It is essential to ensure timely renewal to avoid interruption in your company's ability to legally offer and provide these professional services in Ohio.
How does a company change its name or add an additional service on the PES 3011 form?
For a company to change its name or add an additional service, it must file a new PES 3011 application along with the appropriate fee of $50.00. This process is necessary to ensure that all records are up-to-date and accurately reflect the company's current services and name. Remember, notifying the Board within 30 days of any changes is crucial to maintaining compliance.
Completing the Ohio PES 3011 form accurately is crucial for companies seeking authorization to provide professional engineering and/or surveying services. However, some common mistakes can lead to delays or rejection of the application. To ensure a smooth process, here are five common errors to avoid:
By attentively addressing these common mistakes and ensuring all documentation and fees are correctly submitted, companies can avoid delays or rejection and successfully gain the Certificate of Authorization to practice in Ohio.
When applying for an Ohio Certificate of Authorization using the PES 3011 form, certain documents and forms frequently accompany the main application to ensure a comprehensive submission. These additional materials help to delineate the structure, responsibility, and legal status of the company seeking authorization. Here is a list of forms and documents often used in conjunction with the Ohio PES 3011 form:
Together, these documents provide a comprehensive profile of the company seeking a Certificate of Authorization, ensuring that they meet all legal, professional, and fiscal requirements to practice in Ohio. Ensuring the accuracy and completeness of these documents when submitting the PES 3011 form is crucial for a successful application process.
The Ohio PES 3012 form, designated for the affidavit of responsibility for each professional engineer and professional surveyor, bears a close resemblance to the PES 3011 form in terms of its structure and purpose. Both forms are essential in the application process for companies seeking authorization to provide engineering and surveying services in Ohio. The PES 3012, specifically, complements the PES 3011 by providing detailed information about individuals in responsible charge of engineering and surveying activities, ensuring that they meet state requirements for professional conduct and responsibility.
Business Registration or Renewal forms that are filed with the Ohio Secretary of State share similarities with the PES 3011 form, particularly regarding the requirement for an active Ohio charter or registration number. Like the PES 3011, these forms serve as a means for businesses, including engineering and surveying firms, to officially register or renew their operational status within the state, ensuring compliance with Ohio's regulatory framework for businesses.
The Professional Engineer License Application used by individuals seeking licensure in Ohio is similar to the PES 3011 form to some extent. While the PES 3011 is intended for companies, both applications aim to establish eligibility and authorization under the oversight of the Ohio State Board of Registration for Professional Engineers and Surveyors. Each form requires detailed professional information to ensure that the applicants meet the standards set forth by Ohio law for practicing engineering or surveying.
Ohio’s Certificate of Good Standing, issued by the Secretary of State, shares a fundamental purpose with part of the PES 3011’s prerequisites, specifically the need for an active Ohio Secretary of State charter or registration number. This certificate provides proof that a company is legally registered and compliant with state requirements – a necessity for companies applying for a Certificate of Authorization through the PES 3011, showcasing their legal and operational status within Ohio.
The Name Change or DBA (Doing Business As) Application forms, while catering to a somewhat different purpose, align with the PES 3011 in situations where a company undergoes a name change or wishes to add a DBA. Similar to some scenarios addressed by the PES 3011, these forms facilitate official updates to business records with the state, ensuring that all professional and legal documentation reflects the company’s current operational name and status.
Annual Business Renewal forms submitted to the Ohio Secretary of State resonate with the renewal aspect of the PES 3011, particularly the annual renewal application for maintaining the Certificate of Authorization. Both sets of forms are critical for businesses, including engineering and surveying firms, to continue their legal operations within the state, necessitating timely submissions to avoid lapses in authorization or registration.
The Notice of Change forms, used by businesses to inform the Ohio Secretary of State about updates in address, ownership, or company structure, share a procedural similarity with the PES 3011, especially in its requirement for companies to notify the Board about significant changes. These documents collectively ensure that relevant state entities are always informed about current details crucial for regulatory compliance and contact purposes.
Applications for Design Professional Corporations or Limited Liability Companies in Ohio, though more specific in their target audience, parallel the PES 3011 form regarding their intention to authorize businesses within the professional design sector, including engineering and surveying. Both applications necessitate detailed business information, professional credentials, and compliance with state-specific operational statutes.
Fee schedules associated with professional licensing and business operations, commonly referenced in documents like the PES 3011, are crucial for companies to understand their financial obligations towards licensure and authorization. These schedules detail the costs related to new applications, renewals, and other procedural necessities within the state, ensuring that businesses allocate the appropriate funds towards maintaining their professional and legal standing.
Lastly, the registration forms for Professional Associations or Limited Liability Partnerships offering engineering or surveying services in Ohio, while focusing on specific business structures, share the PES 3011’s goal of legally establishing a firm’s capability to provide professional services in the state. These forms address the necessity for businesses to clearly outline their organizational structure, responsible individuals, and adherence to state laws, mirroring the comprehensive approach found in the PES 3011 application process.
When filling out the Ohio PES 3011 form for a Certificate of Authorization, it's important to pay close attention to the details. Here are things you should and shouldn't do to ensure the process goes smoothly:
What You Should Do:
What You Shouldn't Do:
By following these guidelines, you can help ensure that your Ohio PES 3011 Form for Certificate of Authorization is completed accurately and processed without unnecessary delays.
Understanding legal forms and their requirements can sometimes lead to confusion. This is particularly true for the Ohio PES 3011 form, which is necessary for companies seeking a Certificate of Authorization to provide engineering or surveying services in Ohio. Here are five common misconceptions about this form and the facts to set the record straight.
Only engineers need to fill out the PES 3011 form. This is not accurate. Any company that intends to offer engineering and/or surveying services in Ohio must complete the form, not just individual engineers. This includes companies offering surveying services or a combination of both engineering and surveying services.
A Certificate of Authorization is the same as an individual license. This is a misconception. The Certificate of Authorization allows a company to offer professional services in Ohio, while individual licenses (P.E. for engineers, P.S. for surveyors) are for the professionals themselves. Both are required for lawful practice but serve different purposes and are applied for separately.
Only Ohio-based companies need to apply. In reality, any company offering engineering or surveying services in Ohio, regardless of where they are based, must secure a Certificate of Authorization through the PES 3011 form if they wish to operate legally within the state. This includes companies located outside of Ohio.
The application process is one-time only. Actually, Certificates of Authorization expire annually on June 30th and must be renewed each year for the company to continue its operations legally in Ohio. Failure to renew by the deadline means the company becomes inactive and unauthorized to practice in the state.
Any change in company information doesn't need to be reported to the Board. Contrary to this belief, companies must notify the Ohio State Board of Registration for Professional Engineers and Surveyors within 30 days of any changes in the company’s name, address, or changes regarding partners, managers, officers, members, directors, shareholders, designated professionals, or ownership. Failure to do so can have legal implications.
Understanding these aspects of the Ohio PES 3011 form ensures that companies comply with state regulations, thereby avoiding potential legal issues that could interrupt their business operations. Accurate and timely submission of all required documents and fees is key to a smooth application process.
When businesses in Ohio seek to provide professional engineering and surveying services, the Ohio PES 3011 form is a critical document. This form serves as the application for obtaining a Certificate of Authorization from Ohio’s State Board of Registration for Professional Engineers and Surveyors. Here are key takeaways for businesses looking to navigate this process effectively:
Failure to adhere to these guidelines can result in significant setbacks for businesses aiming to provide professional engineering or surveying services in Ohio. Companies must ensure all information provided is accurate and up-to-date to maintain their authorization to operate within the state.
Ohio It 1040 - The inclusion of Ohio Schedule A for detailing additions and deductions guides taxpayers in adjusting their income for state-level specifics.
Ohio Sd 100 - The requirement to list tax liabilities and payments for each school district ensures detailed reporting and accuracy in funding.
Ohio Residential Property Disclosure Form - The document underscores the importance of disclosing material defects that could affect the property's use or pose hazards to occupants.