Contractor Licensing Form

Licensee Name:
Licensee Email:
Licensee Phone Number:
Licensee Address:
Licensee City, ST ZIP:

Current Construction License Number:
Current Plumbing License Number:
Current Electrical License Number:
Current Mechanical License Number:
Current Arborist License Number:

What license are you applying for?
Construction ContractorPlumbingElectricalMechanicalArborist

Select your construction contractor license:
General ContractorBuilding ContractorResidential ContractorRoofing LimitedRoofing UnlimitedDemolition ContractorNon-Electrical Sign ContractorElectrical Sign Contractor

Select your plumbing license level:
Master PlumberJourneyman PlumberApprentice Plumber

Select your electrical license level:
Master ElectricianJourneyman ElectricianApprentice Electrician

Select your mechanical license level:
Master MechanicalJourneyman MechanicalApprentice Mechanical

Enter the number of licenses you wish to apply for below:
Construction Contractor & Arborist Licenses (Each cost $70 for a 2 year license)

Estimated Cost of Licenses*: $
Actual costs will be sent to you. Estimate is only to provide an approximate amount.

Attach your testing certification information:

Attach your CEUs:

I hereby acknowledge that all information provided does not mean that my license has been granted. I further agree that my license will not be approved until all documents and payments have been submitted.
I Accept

Your name, company, city, state, zip, and license number will be posted to our website once it has been approved. Do you want additional contact information added as well?YesNo

Address:
Phone Number:
Email Address:
Website Address:

Contractor Licensing Form

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