IW 550 VERIFICATION OF WELDING CONTINUITY

VERIFICATION OF WELDING CONTINUITY
Name

First Name Last Name
Book #
Welding Performance in the process(es) below must be verified and documented for each 6 month period based

on the effective date and expiration date on the front of your card. This form must be completely filled out and submitted no sooner than 90 days prior to the expiration date.
1st SIX MONTHS
Welding process(es) Used: (Check all that apply)

SMAWFCAWGTAWGMAW
Employer
Phone #
Employed from:

MonthDay Year
Date
To:

MonthDay Year
Date
Jobsite
**THIS SECTION IS TO BE FILLED OUT AND SIGNED BY THE PERSON(S) VERIFYING PERFORMANCE OF WELDING**
Witnessed By:

I hereby verify that the above named person welded in the specified process(es) during the date range specified.
Name

First Name Last Name
Signature

Clear
Position:

Supervisor
2nd SIX MONTHS
Welding Process(es) used: (check all that apply)

FCAWGTAWSMAWGMAW
Employer
Phone #
Employed from:

MonthDay Year
Date
To:

MonthDay Year
Date
Jobsite
**THIS SECTION IS TO BE FILLED OUT AND SIGNED BY THE PERSON(S) VERIFYING PERFORMANCE OF WELDING**
Witnessed by:

I hereby verify that the above named person welded in the specified process(es) during the date range specified.
Name

First Name Last Name
Position:

Supervisor
Signature

Clear
NOTE: Falsified documentation will result in revocation of qualification/certification and possible legal action.
Should be Empty:

VERIFICATION OF WELDING CONTINUITY