Master of Special Inspection
The Master of Special Inspection (M.S.I.) is a designation given to those candidates who have
successfully passed the following examinations:




Structural Welding Special Inspector
Structural Steel and Bolting Special Inspector
Structural Masonry Special Inspector
Reinforced Concrete Special Inspector
These candidates must also have fulfilled the additional requirements for the Reinforced Concrete Special Inspector certification.
Meeting the criteria for this designation exhibits commitment to the special inspection program,
a deep knowledge of applicable standards, and leadership in the field.
Cert. No. _______________
APPLICATION
for
CERTIFICATES REQUIRING
MULTIPLE EXAMINATIONS
This application is not required for
Fire Inspector II or Certified Fire Marshal.
To receive a certification that requires the completion of more than one examination, complete this application and
submit to ICC at the address at the bottom of this page with appropriate fee payment. Enclose $30.00 for each certification category. Master Code Professional and Certified Building Official certifications are complimentary.
Please do not submit this application prior to receiving your certificate and/or wallet card for the qualifying
examinations.
I have successfully completed the required examinations and request certification for:
□ B5 Building Inspector
□ E5 Electrical Inspector
□ M5 Mechanical Inspector
□ P5 Plumbing Inspector
□ B6 Building Code Official
□ MP Master Code Professional**
□ R5 Residential Combination Inspector
□ C5 Commercial Combination Inspector
□ C8 Combination Inspector
□ C3 Combination Plans Examiner
□ CB Certified Building Official**
□ MI Master of Special Inspection
Certificate and Mailing Information
□ F6 Fire Code Official
□ M6 Mechanical Code Official
□ P6 Plumbing Code Official
□ H6 Housing Code Official
□ E6 Electrical Code Official
□ G8 Energy Code Specialist
** $30 fee does not apply to M.C.P. or C.B.O. certification categories
_________________________________________________________________________________________
Name
Please print your name as you desire it to appear on each certificate.
_________________________________________________________________________________________
Mailing Address
________________________________________________________________________________________
City
State
ZIP
___________________________
Contact Phone Number
________________________________________________________
Email Address
_________________________________________________________________________________________
Signature
Date
Note: 45-70 days is required for verification of records prior to issuance of requested certificates.
Payment Information
Total number of certification categories: _____ X $30 per category = ________ total to enclose.
Method of Payment
□ Check or money order—payable to: ICC
□ Visa
□ MasterCard
□ American Express
□ Discover
Credit Card No. __________ / __________ / __________ / __________ Expires ________ / ________
Signature of Cardholder ______________________________________ Date __________________
Mail completed application with required fee payment to:
International Code Council
Certification & Testing Department
900 Montclair Road
Birmingham, AL 35213
OFFICE USE ONLY
Candidate ID: _____________________________
Requirements met: _________
Date processed: _______________________
Initials: _________