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Content Overview

The Ohio PES 3011 form is a critical document for companies seeking to provide professional engineering and surveying services within the state. This application not only serves as a request for a Certificate of Authorization but also encompasses various essential components necessary for compliance with Ohio regulations. To complete the application, companies must submit a notarized PES 3011 form along with a notarized Company Affidavit of Responsibility for each designated professional engineer or surveyor, ensuring that qualified individuals are in responsible charge of the services offered. Additionally, an active registration number from the Ohio Secretary of State is required, affirming the company's legal ability to operate in Ohio. The form also outlines specific fees for new applications, annual renewals, and late renewals, which must be paid in U.S. funds. Companies should be mindful of the deadlines, as failure to renew by June 30 renders the authorization inactive. Moreover, any changes in company structure, including ownership or services offered, must be promptly reported to maintain compliance. Understanding these aspects is vital for any firm aiming to navigate the regulatory landscape of professional engineering and surveying in Ohio.

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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

Disclosure statement, privacy notice
 : PES 3011.
      for each professional engineer and professional surveyor
designated in responsible charge: PES 3012.
 
of Ohio. In addition, if a company is using a doing business as

 



  unless otherwise indicated.
               
PES 3012.
 


 
 
 
 
to practice in the state of Ohio.
 
 
directors, shareholders, designated professional engineers, designated professional surveyors or change of ownership.
 
 
 
 
surveying in the state of Ohio.


 

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20120307 Page 1 of 1
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




3010
OHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

PES 3011 (Rev. 03/2012) 20120307 Page 1 of 4


            

      

to .
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 >> 
 >> 
CITY
COUNTY >> 

TELEPHONE

 
 >> 
 >> 
CITY
COUNTY >> 

TELEPHONE

 >> 
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OHIO SOS NO. >> 
OHIO SOS NO.

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

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3011
BOARD USE ONLYOHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS

PES 3011 (Rev. 03/2012) 20120307 Page 2 of 4


               
         



-





Director

Partner 

1
>> 
 

Director

Partner 

2
>> 
 

Director

Partner 

3
>> 
 

Director

Partner 

4
>> 
2 
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
       

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 



 


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
   

 

  ...........................
 
........................................................................................
 
 ............................................................................................................................................
 
 ..........................................................................................................................................................
                 
 .......................................
 
                  
 ....................................................................................................................................................
YES NO


YES NO
YES NO
YES NO
YES NO
YES NO
PES 3011 (Rev. 03/2012)
20120307 Page 4 of 4

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



 with






                


                 



Professional services to be offered by company
Engineering ONLY Surveying ONLY Engineering AND Surveying
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S
E
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N
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NOTARY
NOTARY SIGNATURE MY COMMISSION EXPIRES
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day of , .
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STATE OF
AFFIANT
I, [ AFFIANT PRINTED NAME ] ,
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AFFIANT SIGNATURE DATE SIGNED
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Authorization number
COMPANY NAME
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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
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Questions?
EMAIL
pes.board@pes.ohio.gov
FAX
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U.S. TOLL FREE
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CERTIFICATE OF AUTHORIZATION
STATE BOARD OF REGISTRATION FOR
PROFESSIONAL ENGINEERS AND SURVEYORS
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
3012
BOARD USE ONLYOHIO’S STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND SURVEYORS
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Form Specifications

Fact Name Description
Application Requirement The PES 3011 form is a notarized Certificate of Authorization application required for companies offering professional engineering and/or surveying services in Ohio.
Fees New applications, name changes, or additional service requests incur a fee of $50. Annual renewals cost $25, while late renewals are $37.50.
Governing Law This form is governed by Ohio Revised Code Chapter 4733, which outlines the regulations for professional engineers and surveyors.
Active Registration Companies must hold an active registration with the Ohio Secretary of State to operate legally in Ohio.
Expiration Certificates of Authorization expire annually on June 30. Companies must renew by this date to remain authorized.
Disclosure Statement Information submitted may be subject to public records requests, as most documents maintained by the state are public under Ohio law.

Ohio Pes 3011: Usage Guidelines

After gathering the necessary documents and information, you can proceed to fill out the Ohio PES 3011 form. Ensure that you have all required details at hand to avoid delays in processing your application.

  1. Download the Ohio PES 3011 form from the Ohio State Board of Registration for Professional Engineers and Surveyors website.
  2. Fill in the application type by selecting only one option: Annual Renewal, New, Additional Service, Late Annual Renewal, or Name Change.
  3. If applicable, enter the previous company name and the Ohio Certificate of Authorization number.
  4. Specify the professional services your company will offer: Engineering Only, Surveying Only, or Engineering and Surveying.
  5. Indicate the type of company you are registering (e.g., Corporation, LLC, Partnership, Professional Association).
  6. Provide the active Ohio Secretary of State (SOS) charter or registration number for the company, and if using a DBA name, include that number as well.
  7. Complete the company contact information section, including the address, email, and phone number. Do not use a P.O. Box.
  8. List the owners of the company, providing their names and addresses. If there are more than five owners, attach additional pages with the same information.
  9. Designate the registered individuals in responsible charge, including their names, registration numbers, and positions. Ensure that each registrant includes a notarized Company Affidavit of Responsibility (PES 3012).
  10. Complete the disclosure statement section, answering all questions truthfully with "yes" or "no."
  11. Sign and date the application, and have it notarized.
  12. Include the appropriate application fee, payable to the Treasurer, State of Ohio, in the form of a check or money order.
  13. Submit the completed application, along with the affidavits and fee, to the Board's address: 50 W Broad St Ste 1820, Columbus, OH 43215-5905.

Your Questions, Answered

What is the Ohio PES 3011 form?

The Ohio PES 3011 form is an application for a Certificate of Authorization. This certificate is necessary for companies that wish to provide or offer professional engineering and/or surveying services in the state of Ohio. The form can be used for new applications, annual renewals, late renewals, adding additional services, or changing the company name.

What documents are required to submit with the PES 3011 form?

When submitting the PES 3011 form, you must include a notarized Certificate of Authorization application, a separate notarized Company affidavit of responsibility for each professional engineer and surveyor designated in responsible charge (PES 3012), and an active Ohio Secretary of State charter or registration number. If you are using a DBA name, you will also need the corresponding registration number for that name.

What are the application fees associated with the PES 3011 form?

The application fees vary depending on the type of application. For a new application, the fee is $50.00. Annual renewals cost $25.00, while late renewals are $37.50. If you are changing the name of your company or adding a DBA, the fee is also $50.00. Remember, these fees are nonrefundable and must be paid in U.S. funds.

How often do I need to renew my Certificate of Authorization?

Certificates of Authorization expire annually on June 30. It’s crucial to renew your certificate by this deadline. If you fail to do so, your company will become inactive and unauthorized to practice in Ohio.

What happens if I don’t renew my Certificate of Authorization on time?

If you miss the renewal deadline of June 30, your company will be considered inactive. This means you will not be authorized to provide professional engineering or surveying services in Ohio until you complete the renewal process and pay any applicable late fees.

Can I submit the PES 3011 form if my company has had changes in ownership or management?

Yes, but you must notify the Board within 30 days of any changes in your company’s ownership, partners, managers, or designated professional engineers and surveyors. This notification is crucial to keep your records up to date and maintain your authorization.

Is there a difference between a Certificate of Authorization and an individual license?

Yes, there is a significant difference. A Certificate of Authorization allows a company to provide professional engineering or surveying services, while an individual license is required for professionals to practice engineering or surveying personally. Both are necessary but serve different purposes.

What should I do if I no longer wish to renew my Certificate of Authorization?

If your company decides not to renew the Certificate of Authorization, you must notify the Board in writing. This ensures that your company’s status is accurately reflected and avoids any unnecessary fees or complications.

How do I contact the Ohio Secretary of State for more information?

You can reach the Ohio Secretary of State’s office through their website at www.sos.state.oh.us or by calling their toll-free number at (877) 767-6446. If you’re in the Columbus metro area, you can call (614) 466-2655 for assistance.

What should I do if I have more questions about the PES 3011 form?

If you have additional questions or need further clarification, you can email the Board at [email protected] or fax them at (614) 728-3059. They are there to assist you with your inquiries.

Common mistakes

  1. Incomplete Application: Many applicants fail to fill out every field on the PES 3011 form. Each field is required unless specifically indicated otherwise. Leaving fields blank can lead to delays or rejection of the application.

  2. Incorrect Fee Submission: Submitting the wrong application fee is a common mistake. Ensure that the fee matches the type of application you are submitting, whether it's for a new certificate, renewal, or name change.

  3. Missing Notarized Affidavit: Each professional engineer or surveyor designated in responsible charge must submit a separate notarized Company Affidavit of Responsibility (PES 3012). Omitting this document can halt the application process.

  4. Failure to Update Changes: Companies must notify the Board within 30 days of any changes in ownership, management, or address. Not doing so can lead to complications and potential penalties.

  5. Using a P.O. Box: Applications that list a P.O. Box as the address are not accepted. Only physical addresses are permissible, which can lead to confusion if overlooked.

  6. Not Checking Registration Status: Before applying, ensure that the company is registered with the Ohio Secretary of State. An active registration number is required for the application to be valid.

  7. Ignoring Renewal Deadlines: Certificates of Authorization expire annually on June 30. Failing to renew by this date renders the company inactive, prohibiting it from practicing in Ohio.

Documents used along the form

When applying for a Certificate of Authorization in Ohio, several additional forms and documents may be required. Each of these documents serves a specific purpose in ensuring compliance with state regulations. Below is a list of commonly used forms alongside the Ohio PES 3011 form.

  • PES 3012 - Company Affidavit of Responsibility: This document certifies that each designated professional engineer or surveyor is responsible for the company's engineering or surveying activities. It must be notarized and submitted for each responsible individual.
  • Ohio Secretary of State Registration: An active registration number is required to validate that the company is authorized to conduct business in Ohio. This includes the company's DBA name if applicable.
  • Application Fee Payment: A check or money order made payable to the Treasurer, State of Ohio, is necessary. Fees vary based on the type of application, such as renewal or name change.
  • Change of Address Notification: If there are changes to the company’s address, a formal notification must be submitted to the Board within 30 days.
  • Ownership Disclosure: Companies with more than five owners must provide additional pages detailing each owner's information, including name and address.
  • Professional Engineer (PE) or Professional Surveyor (PS) Registration Numbers: Each professional involved must include their Ohio registration numbers as part of the application process.
  • Annual Renewal Application: Companies must submit this form annually to maintain their Certificate of Authorization. It includes updated information about the company and its responsible individuals.
  • Late Renewal Application: If the annual renewal is not submitted by the deadline, this form must be completed along with the late fee payment.
  • Name Change Application: Companies wishing to change their name must file this application and pay the associated fee, ensuring the new name is registered with the Secretary of State.
  • Disclosure Statement: This document is required to ensure compliance with public records laws and to disclose any potential conflicts related to terrorism as outlined in Ohio law.

Each of these documents plays a crucial role in the application process for a Certificate of Authorization. Ensure all forms are completed accurately and submitted on time to avoid delays or complications with your application.

Similar forms

The Ohio PES 3011 form, which is a Certificate of Authorization application, shares similarities with several other important documents in the professional engineering and surveying fields. Here are five documents that are comparable:

  • PES 3012: Company Affidavit of Responsibility - This document is required for each professional engineer and surveyor designated in responsible charge. Like the PES 3011, it must be notarized and submitted as part of the application process, ensuring that qualified individuals are overseeing the company's professional services.
  • Ohio Secretary of State Registration - An active registration with the Ohio Secretary of State is necessary for companies to operate legally in Ohio. This document is similar in that it verifies the legitimacy of the business, just as the PES 3011 verifies the company’s authorization to provide engineering or surveying services.
  • Professional Engineer (PE) License Application - This application is required for individuals seeking to become licensed professional engineers in Ohio. Like the PES 3011, it involves a detailed process that includes verification of qualifications and adherence to state regulations.
  • Professional Surveyor (PS) License Application - Similar to the PE license application, this document is essential for individuals aiming to become licensed professional surveyors. Both documents require proof of qualifications and are subject to state review and approval.
  • Annual Renewal Application - Every year, companies must renew their Certificate of Authorization. This renewal application is akin to the PES 3011, as it requires updated information and payment of fees to maintain active status in providing professional services.

Dos and Don'ts

When filling out the Ohio PES 3011 form, there are several important guidelines to keep in mind. Here’s a list of what you should and shouldn’t do to ensure a smooth application process.

  • Do fill out all required fields completely. Missing information can lead to delays.
  • Don't use a P.O. Box as your address. A physical address is necessary.
  • Do include the correct application fee. Double-check the amount based on your application type.
  • Don't forget to notarize the Certificate of Authorization application. This is a crucial step.
  • Do ensure that each designated professional engineer or surveyor submits a Company Affidavit of Responsibility (PES 3012).
  • Don't submit your application without an active Ohio Secretary of State registration number. This is mandatory.
  • Do notify the Board within 30 days of any changes to your company’s name or address.
  • Don't assume that your application will be processed without the necessary documentation. Always verify that you have included everything required.
  • Do keep a copy of your completed application for your records.
  • Don't wait until the last minute to submit your renewal application. Aim to submit well before the June 30 deadline.

By following these guidelines, you can help ensure that your application process goes as smoothly as possible. Good luck!

Misconceptions

Understanding the Ohio PES 3011 form is crucial for companies looking to offer professional engineering and surveying services. However, several misconceptions can lead to confusion. Here are six common misconceptions:

  • Misconception 1: The PES 3011 form is only for new companies.
  • This is incorrect. The PES 3011 form is used for various purposes, including new applications, annual renewals, late renewals, and changes in company name or services.

  • Misconception 2: Only one notarized affidavit is needed for all engineers and surveyors.
  • Each professional engineer or surveyor designated in responsible charge must complete a separate notarized Company affidavit of responsibility (PES 3012).

  • Misconception 3: The application fee is the same for all types of applications.
  • Fees vary based on the application type. For example, a new application or name change costs $50, while an annual renewal costs $25.

  • Misconception 4: Companies can submit incomplete applications.
  • Applications lacking the correct fee or incomplete information will be returned. It is essential to fill out all required fields accurately.

  • Misconception 5: A Certificate of Authorization is the same as a professional license.
  • This is a common misunderstanding. A Certificate of Authorization allows a company to operate, while individual licenses are required for professionals to practice engineering or surveying.

  • Misconception 6: Companies do not need to inform the Board about changes in ownership.
  • Companies must notify the Board within 30 days of any changes in partners, managers, or ownership to maintain compliance.

By clarifying these misconceptions, companies can navigate the application process more effectively and ensure compliance with Ohio's regulations.

Key takeaways

Filling out the Ohio PES 3011 form is an important step for companies wishing to provide professional engineering and surveying services in Ohio. Here are some key takeaways to keep in mind:

  • Complete Application: Ensure that all fields in the application are filled out completely. Incomplete applications will be returned.
  • Notarized Affidavit: A separate notarized Company affidavit of responsibility (PES 3012) is required for each professional engineer or surveyor designated in responsible charge.
  • Active Registration: The company must hold an active registration with the Ohio Secretary of State. This includes any "doing business as" (DBA) names.
  • Application Fees: Be aware of the application fees. New applications and additional services cost $50, while annual renewals are $25. Late renewals incur a fee of $37.50.
  • Renewal Deadline: Certificates of Authorization expire annually on June 30. Companies must renew by this date to remain authorized to practice in Ohio.