Form MI-228 "Stationary, Refrigeration, Power Engineer and/Or Boiler Operator's License Renewal Application" - New Jersey

What Is Form MI-228?

This is a legal form that was released by the New Jersey Department of Labor & Workforce Development - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the New Jersey Department of Labor & Workforce Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MI-228 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.

ADVERTISEMENT
ADVERTISEMENT

Download Form MI-228 "Stationary, Refrigeration, Power Engineer and/Or Boiler Operator's License Renewal Application" - New Jersey

461 times
Rate (4.3 / 5) 23 votes
State of New Jersey
DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT
LABOR STANDARDS AND SAFETY ENFORCEMENT
MECHANICAL INSPECTION BUREAU OF BOILER AND PRESSURE VESSEL COMPLIANCE
PO BOX 392
TRENTON, NJ 08625-0392
Stationary, Refrigeration, Power Engineer and/or Boiler Operator’s License
RENEWAL APPLICATION
This is an application to renew a Stationary, Refrigeration, Power Generating Engineer or Boiler Operator’s License that was
issued by the Mechanical Inspection Bureau of Boiler and Pressure Vessel Compliance. Licensees may renew a license within
60 days before its expiration date [N.J.A.C. 12:90-8.19(c)]. To renew your license, send the following 4 required items to the
address at the top of this form:
1 - Completed application
2 - Passport size photo
3 - Signature on a separate page
4 - Money order or certified/cashiers or business check, for the appropriate renewal fee, made payable to the
“Commissioner of LWD”.
For a license that is not expired:
• 1-year renewal fee is $40
• 3-year renewal fee is $80
NOTE: These fees apply only to a non-expired license holder. Details about acceptable renewals, fees, and other
pertinent facts appear on the following pages of this application.
You must provide all of the information requested on this application to renew the license. This information is used to maintain
an accurate record of license holders in New Jersey. You must provide employer information, even if you are not using the
license at your current place of employment. Note: If you are retired or unemployed, you need not complete the Employer
Information section; please “check the box” in that section that applies.
PRINT LEGIBLY IN INK. ALL INFORMATION MUST BE PROVIDED
3-Year Renewal - $80.00 Amount Enclosed:
1-Year Renewal - $40.00
Check the correct box for your renewal:
Please correct any missing or incorrect information below. Use the extra lines for more space.
Current Licensee Information
License Number:
Name:
Physical Address:
Mailing Address:
Phone Number:
Cell Number:
Date of Birth:
Email:
Current Employer Information
Does not apply - Not currently working
Retired - Not currently working
Current Employer:
Phone Number:
Mailing Address:
Supervisor Name:
Supervisor Email:
Corrections:
Signature of Licensee:
Date
MI-228 (1/18)
State of New Jersey
DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT
LABOR STANDARDS AND SAFETY ENFORCEMENT
MECHANICAL INSPECTION BUREAU OF BOILER AND PRESSURE VESSEL COMPLIANCE
PO BOX 392
TRENTON, NJ 08625-0392
Stationary, Refrigeration, Power Engineer and/or Boiler Operator’s License
RENEWAL APPLICATION
This is an application to renew a Stationary, Refrigeration, Power Generating Engineer or Boiler Operator’s License that was
issued by the Mechanical Inspection Bureau of Boiler and Pressure Vessel Compliance. Licensees may renew a license within
60 days before its expiration date [N.J.A.C. 12:90-8.19(c)]. To renew your license, send the following 4 required items to the
address at the top of this form:
1 - Completed application
2 - Passport size photo
3 - Signature on a separate page
4 - Money order or certified/cashiers or business check, for the appropriate renewal fee, made payable to the
“Commissioner of LWD”.
For a license that is not expired:
• 1-year renewal fee is $40
• 3-year renewal fee is $80
NOTE: These fees apply only to a non-expired license holder. Details about acceptable renewals, fees, and other
pertinent facts appear on the following pages of this application.
You must provide all of the information requested on this application to renew the license. This information is used to maintain
an accurate record of license holders in New Jersey. You must provide employer information, even if you are not using the
license at your current place of employment. Note: If you are retired or unemployed, you need not complete the Employer
Information section; please “check the box” in that section that applies.
PRINT LEGIBLY IN INK. ALL INFORMATION MUST BE PROVIDED
3-Year Renewal - $80.00 Amount Enclosed:
1-Year Renewal - $40.00
Check the correct box for your renewal:
Please correct any missing or incorrect information below. Use the extra lines for more space.
Current Licensee Information
License Number:
Name:
Physical Address:
Mailing Address:
Phone Number:
Cell Number:
Date of Birth:
Email:
Current Employer Information
Does not apply - Not currently working
Retired - Not currently working
Current Employer:
Phone Number:
Mailing Address:
Supervisor Name:
Supervisor Email:
Corrections:
Signature of Licensee:
Date
MI-228 (1/18)
I
G
I
NSTRUCTIONS AND
ENERAL
NFORMATION FOR
R
E
B
O
L
ENEWAL OF
NGINEER
S AND
OILER
PERATOR
S
ICENSES
1.
Important Note: A first-time license is valid for only 1 year from the date it is issued. To keep the license
active and to avoid a late fee and/or penalty, you must renew the licenses before the date of expiration.
You may renew your license for a 1-year period or a 3-year period [N.J.A.C. 12:90-8.19(a)].
2.
Expiration Date Format: MM/DD/YYYY = Month/Date/Year (for example, 02/25/2016 is February 25,
2016).
3.
Renewing a License – A license may be renewed 60 days before it expires, or when you receive a
“Renewal Notification” from this agency. Apply to renew your license by completing this application.
4.
Acceptable Renewals – Licenses may be renewed if any outstanding penalties or judgments are paid,
and if a license has not been expired more than 3 years. (NOTE: If a license renewal is more than 3 years
overdue, the license is inactive and therefore not renewable. In accordance with the provisions
established by law, records of inactive licenses may be destroyed [N.J.S.A. 34:7-3]. An application to
renew a license that expired more than 3 years ago is considered an original application.
5.
Renewal Fee, Late – A late renewal (up to 3 months past expiration) is allowed, provided that the
appropriate fee is paid ($60 for a 1-year renewal; $120 for a 3-year renewal). Renewals that are 4 months
or more overdue are assessed a penalty. If your license expired at least 4 months ago, it is imperative
that you call (609) 292-2921 to find out the penalty fee required to renew an expired license.
6.
Renewal Fee, Lost – This agency assumes no liability and is not responsible for any fee that is not
received on time or that is lost while in transit.
7.
Passport style photograph – You are required to provide a 2”x 2” passport style formatted photograph.
8.
Signature - Please sign your signature on a separate paper with a white background that does not have
lines in “Black or Blue Ink” in the center of the page. No pencils or other ink color is allowed. Your
Signature must be legible and easy to read. Photocopies are not acceptable. In addition, please print
your name at the top or bottom of the paper.
9.
Email - Email address must be provided on renewal application.
10. Date of birth – Every licensee must provide their date of birth on the renewal application. MM/DD/YYYY
= Month/Date/Year (for example, 02/25/2016 is February 25, 2017)
11. Change of Address – Every licensee must notify this agency of any change in residence [N.J.A.C. 12:90-
8.2(j)]. When doing so, provide your name, current address, license number.
12. Posting the License – All ORIGINAL licenses must be framed and properly posted adjacent to the
equipment requiring the license, or in the engineer’s office or plant office, whichever is suitable. Failure
to post an ORIGINAL license may result in a penalty of at least $500 against the operator, supervisor
and/or management [N.J.A.C. 12:90-8.17(c)].
1
Rev. 1.1 - Application Process & Procedural Changes 10.2017
13. Replacing a License or ID card – An altered, defaced, or otherwise mutilated license or identification
card will be replaced only after review by this agency. Photostats, photographs or reproductions of a
license are neither valid nor recognized. A fee of $10 will be imposed for a replacement license and $6
for a replacement ID card.
14. Suspension or Revocation of License – An operator’s license may be suspended or revoked for
incompetence, negligence, intoxication, or drug abuse while on duty, or for any other valid reason
establishing that the licensee is unfit to hold a license. Any person who uses an expired license to
perform the duties of a licensee is subject to a penalty of at least $500, and up to $5,000, per day. The
supervisor and/or employer also may be subject to a similar penalty. A licensee whose license is
suspended or revoked has the right to request a hearing conducted by one or more members of the
Examining Board [N.J.A.C. 12:90-8.18(f)]. If you fail to appear for a scheduled hearing, your license will
be suspended indefinitely. A licensee who disagrees with the decision of the Examining Board may
appeal to the Commissioner, pursuant to N.J.A.C. 12:90-9.
NOTE: Applications and If you receive an electronic version of your passport style photograph,
please submit it and your separate handwritten signature, to the MIBBPVC email address
BPVRCompliance@dol.nj.gov
with the subject line “Photo/Signature for License Renewal”).
2
Rev. 1.1 - Application Process & Procedural Changes 10.2017
PASSPORT STYLE PHOTOGRAPH REQUIREMENTS AND SIGNATURE FOR
AN APPROVED LICENSE APPLICATION WITH THE
MECHANICAL INSPECTION BUREAU OF BOILER
AND PRESSURE VESSEL COMPLIANCE
A
: D
N
S
P
S
U
Y
B
N
T
Y
P
E
LERT
O
OT
UBMIT THE
HOTOGRAPH OR
IGNATURE
NTIL
OU HAVE
EEN
OTIFIED
HAT
OU
ASSED THE
XAMINATION
In order to obtain your license certificate and wallet identification card, you must do the
following:
 Provide one color passport type 2 inch x 2 inch digital photograph, with a minimum
image resolution of 600x600 pixels and your separate handwritten signature. The
photo must be taken against a “non-reflective”, “non-glare”, off-white background.
You must not wear a white t-shirt or any similar type of white shirt.
 Your entire face must be shown in the photograph, being not less than three-quarters
of an inch in width. No selfies are allowed.
 Do not wear a hat, glasses, or any other item which may alter or disguise your facial
features in the photographs.
 There must not be any objects sticking out of your shirt or hung on your shirt collar.
 Do not cut your pictures to size.
All applications will be rejected and returned if the required information is not completed
and if the photograph is not of the passport type/size or if no signature has been provided.
 Photocopies are not acceptable. Please sign your signature on a separate paper that
does not have lines. This paper must have a white background and your signature
should be written in “Black or Blue Ink” in the center of the page. No other ink color
is allowed. Your handwritten signature must be legible and easy to understand. Please
print your name on the bottom or top of the page.
Please include your email address, as it has proven to be the best method of
communication with the MIBBPVC.
NOTE: The requirements for a passport photo can be found on the following website:
https://travel.state.gov/content/passports/en/passports/photos.html
Rev. 1.1 ‐ Application Process & Procedural Changes 10.25.2017
3
Page of 4