2011 Surveyor Renewal Notice

TEXAS BOARD OF PROFESSIONAL LAND SURVEYING

12100 Park 35 Circle, Bldg A Suite156 MC-230

Austin, TX 78753

(512) 239-5263

This renewal form is to renew your individual license of registration to practice as a Registered Professional Land Surveyor in Texas. This form is NOT to be used to renew a surveying firm.

DO NOT COMBINE A FIRM RENEWAL FEE AND A SURVEYOR LICENSE RENEWAL FEE INTO ONE CHECK.

Instructions on renewing a certificate/license as a

Registered Professional Land Surveyor

All certificates/licenses of registration that are expired must cease until renewal is complete. Renewal after expiration will be subject to late penalties as stated in Section 1071.303 of the Professional Land Surveying Practices Act. RPLS licenses can be renewed online at www.txls.state.tx.us or by submitting this form to the Board office at 12100 Park 35 Circle Bldg A suite 156 MC- 230 Austin TX 78753.

Those with an RPLS/LSLS license must renew with this form to the Board office.

*EXEMPTION applies to individuals employed by the State of

Texas as a Registered Professional Land Surveyor. If this exemption applies to you, reduce the Total Due by $200.00. Individuals claiming this exemption will be subject to audit. Individuals claiming this exemption must send the renewal form and fee to the Board office for processing.

Renewal notice forms are mailed to the preferred address noted in the records of the Board at the time the renewal notices were printed. If your mailing address has changed, please attach a written change of address notice to this renewal form and return to the Board office for processing. A change of address form can be found on the Board’s web site: www.txls.state.tx.us

Have you been convicted of any crime, other than a minor traffic violation, that you have not reported to the Board?

_____Yes _____No Date of convictions(s) ______.

Board Rule 663.20 requires registrants to provide a summary of convictions in sufficient detail to allow the Board to determine if it is applicable to the practice of professional land surveying or application for registration. If additional space is needed you may attach a page.

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Office use only
Receipt # ______
Received On:

This does not constitute a change of information form. Please attach the change of information form located on the board website if changes are required.www.txls.state.tx.us

Name______

License number______

Amount Submitted______

Date Submitted______

Renewals before expiration of license

November through December

*RPLS Active 379.00

RPLS Inactive 40.00

*RPLS Active/LSLS 416.00

RPLS Inactive/LSLS 80.00

LSLS Only 40.00

Renewals after expiration of license

January through March

*RPLS Active 566.00

RPLS Inactive 59.00

*RPLS Active /LSLS 621.50

RPLS Inactive /LSLS (inactive) 117.50

LSLS Only 58.50

Renewals after expiration of license

April through December

*RPLS 753.00

RPLS Inactive 78.00

*RPLS Active /LSLS 827.00

RPLS Inactive/LSLS 155.00

LSLS Only 77.00

DO NOT SEND CASH OR FOREIGN MONEY

I certify that I have read the information on this form and I am

familiar with the Professional Land Surveying Practices Act and

Board Rules.

Signature of RPLS______Date______