Permit Application - PEGNL - Professional Engineers and Geoscientists Newfoundland and Labrador

New Permit Holder Application Form

Application Form for Permit to Practice

Notice to Applicants
• Requirements for registration are defined in PEGNL's Registration Policy.
• Submission of the online application form requires payment by credit card. If you are not able to pay by credit card, please contact the PEGNL office.
• Please complete ALL sections.
• Please ensure ALL necessary supporting documents are supplied to PEGNL in the required manner.

ORGANIZATION INFORMATION

Name of Organization(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Telephone(Required)

COMPANY ADMINISTRATOR INFORMATION

The Company Administrator for the Permit to Practice is PEGNL's point of contact regarding the permit, and their email address is tied to the Permit account on PEGNL's online portal. Password resets and all notices regarding renewals and expired insurance certificates will be sent to the Company Administrator email address. Failure to respond to these notices may result in suspension of the permit to practice.

Company Administrator Name(Required)

Company Administrator Email(Required)

Company Administrator Phone(Required)

ORGANIZATION ENGINEERING AND/OR GEOSCIENCE PRACTICE INFORMATION

Type of Permit Applying For:(Required)

Engineering

Geoscience

Both Engineering and Geoscience

Has Your Organization Previously Held a Permit with PEGNL?(Required)

Yes

Previous PEGNL Permit Number(Required)

Please include your PEGNL permit number or the year in which the permit was last held.

GC Question(Required)

Has the organization ever been suspended, disqualified, censured or had disciplinary action instituted against it as the holder of a Permit to Practice or Certificate of Authorization of any professional organization?

Yes

GC Question More Information(Required)

Please provide more details and/or supplemental documentation.

Scope of Services Information(Required)

Please provide a detailed description and scope of the professional services that the Permit Holder (Organization) intends to offer in or for the province of Newfoundland and Labrador, including fields of specialization (examples: control systems; building services; traffic engineering; hydrogeology; etc.). This description will be displayed in PEGNL's online Company Registry.

List the discipline(s) being practiced and offered in Newfoundland and Labrador. You must have a registered PEGNL member competent in each discipline selected. PEGNL maintains a list of accepted disciplines. Note that the Company Administrator must confirm the disciplines on the permit portal after permit approval.

Disciplines Offered(Required)

Discipline

Competent PEGNL Member License Number

Competent PEGNL Member Name

LICENSE HOLDER AND MEMBER IN RESPONSIBLE CHARGE (MIRC) INFORMATION

The Engineers and Geoscientists Regulations, 2024 require that a permit holder appoint at least one Member in Responsible Charge (MIRC). The MIRC is responsible for ensuring the practice of engineering or geoscience performed by the permit holder is in accordance with the Act, the Regulations, the By-Laws, and generally accepted standards of practice. For an engineering permit, the MIRC must be a P. Eng. or Eng. L., and for a geoscience permit the MIRC must be a P. Geo. or Geo. L.
Members in Responsible Charge are reminded that if they accept responsibility for more than one permit, they are bound by the Code of Ethics to disclose these arrangements to each organization involved.
Please enter the Member in Responsible Charge's information. The MIRC must provide a signed declaration and a resume or CV. The Company Administrator may add additional MIRCs on the permit portal after permit approval.

Engineering MIRC Name(Required)

Engineering MIRC Professional Designation(Required)

P. Eng.

P. Eng./P. Geo.

Eng. L.

Engineering MIRC PEGNL License Number(Required)

If MIRC's application is in process, please enter PEGNL AIP number

Engineering MIRC Declaration Form(Required)

Max. file size: 50 MB.

A declaration form signed by the MIRC must be submitted.

Engineering MIRC Resume/CV(Required)

Max. file size: 50 MB.

Geoscience MIRC Name(Required)

Geoscience MIRC Professional Designation(Required)

P. Geo.

P. Eng./P. Geo.

Geo. L.

Geoscience MIRC PEGNL License Number(Required)

If MIRC's application is in process, please enter PEGNL AIP number

Geoscience MIRC Declaration Form(Required)

Max. file size: 50 MB.

A declaration form signed by the MIRC must be submitted.

Geoscience MIRC Resume/CV(Required)

Max. file size: 50 MB.

In addition to the MIRC(s) listed, all other Engineers and Geoscientists practicing with the permit holder in Newfoundland and Labrador must be registered with PEGNL. If any such Engineer or Geoscientist working with your organization is not registered with PEGNL, they must immediately apply for individual licensure.

Member List File(Required)

Please provide a list of license holders currently registered or who will be working on projects

Max. file size: 50 MB.

How many PEGNL license holders (P. Eng., P. Geo., Eng. L, Geo. L.) are employed by your organization?(Required)

2-5

6-9

10+

*Please note EITs/GITs are not license holders and should not be included in your count. Dual license holders (P. Eng. and P. Geo.) count as one license holder, and contracted PEGNL registered individuals who work for your organization (i.e. under your permit to practice) must be included in your count.

PROFESSIONAL LIABILITY INSURANCE

All permit to practice holders must carry professional liability insurance in accordance with section 12.(3) of the Engineers and Geoscientists Act 2008. Details of the insurance requirement are laid out in PEGNL By-Law No. 2. Insurance certificate examples are available for reference.

Proof of Insurance(Required)

Max. file size: 50 MB.

DECLARATION BY CHIEF EXECUTIVE OFFICER (CEO) OR EQUIVALENT OR AUTHORIZED DESIGNATE

Consent(Required)

I agree to the terms.

I, as the Chief Executive Officer or equivalent or authorized designate, have authority and undertake to maintain an organization in which the practice of the professions can be conducted in accordance with the requirements described in the Engineers and Geoscientists Act, 2008, Engineers and Geoscientists Regulations, 2024 and PEGNL By-Laws, including, but not limited to ensuring that:
(a) all practicing professionals are licensed with PEGNL; and
(b) restricted engineering and geoscience titles are only assigned, and professional designations are only used, by those employees duly licensed by PEGNL.
I further undertake:
(a) To notify PEGNL in writing within fifteen (15) days if any of the members in responsible charge who have assumed responsibility for the professional practice cease to be employees of the applicant or cease to assume responsibility.
(b) To assume responsibility and designate specific signing authority within the organization for matters to be addressed by the Chief Executive Officer (or equivalent) or designate who signs the Application for Permit to Practice on behalf of the Permit Holder.
(c) To surrender permit stamps and certificates to PEGNL in circumstances where there are not licensees of PEGNL assuming responsibility for the professional practice of the applicant.
(d) To report on an annual basis the names of:
a. Chief Executive Officer (or equivalent) or designate taking corporate responsibility for the applicant.
b. PEGNL members in responsible charge assuming responsibility for direction of the professional practice of the applicant.

CEO or Equivalent or Authorized Designate Name(Required)

Position(Required)

Signature(Required)

Designate Authorization

Max. file size: 50 MB.

In case of an Authorized Designate, proof of authorization must be submitted.

PAYMENT INFORMATION

Application Fee(Required)

Application Fee: $300 + HST

Application Fee

Price:

HST(Required)

Price: $ 0.00 CAD

PEGNL Provided Code

If PEGNL has provided a code for you to submit your form, please enter it here.

Total

(1) The application fee is non-refundable.
(2) Instructions on how to order a stamp will be provided upon approval. The cost of a stamp is available on the Fees Schedule page.
(3) Credit card information is not retained on file.

Credit Card

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Application Form for Permit to Practice

ORGANIZATION INFORMATION

COMPANY ADMINISTRATOR INFORMATION

ORGANIZATION ENGINEERING AND/OR GEOSCIENCE PRACTICE INFORMATION

LICENSE HOLDER AND MEMBER IN RESPONSIBLE CHARGE (MIRC) INFORMATION

PROFESSIONAL LIABILITY INSURANCE

DECLARATION BY CHIEF EXECUTIVE OFFICER (CEO) OR EQUIVALENT OR AUTHORIZED DESIGNATE

PAYMENT INFORMATION