Certificate of Good Moral Character for Corporate - PDF by fmz12746

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									                                            District of Columbia




   BOARD OF INDUSTRIAL TRADES – ASBESTOS WORKER AND ASBESTOS SUPERVISOR
                                    Certificate of Moral Character


This certifies that we have been personally acquainted with _________________________________ (name),
_________________________(social security number) for a period of not less than five (5) years; that s/he is not
addicted to the intemperate use of alcohol or narcotic drugs; that we know him/her to be of good moral character
and hereby recommend him/her as being worthy to be licensed to practice in the District of Columbia, pursuant to
law.

REFERENCES – This is to certify that I have been acquainted with the above named applicant and I know him/her
to be a person of intelligence, good habits and character. I am not a relative.

1. _______________________________              _______________________________              _____________
   Signature                                    Printed Name                                 Date

       ____________________________________________________________________________________
       Address

       ______________________________________________________       ____________________________________
       Address                                                      Telephone Number



2. _______________________________              _______________________________              _____________
   Signature                                    Printed Name                                 Date

       ____________________________________________________________________________________
       Address

       ______________________________________________________       ____________________________________
       Address                                                      Telephone Number



3. _______________________________              _______________________________              _____________
   Signature                                    Printed Name                                 Date

       ____________________________________________________________________________________
       Address

       ______________________________________________________       ____________________________________
       Address                                                      Telephone Number

Return this form to:

          Pearson VUE
          Dept. DC - ST
          Metro-Plex I, Suite 250
          8401 Corporate Drive
          Landover, MD 20785
                                                                              Pearson VUE # 6809-45 Revised 04/10

								
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