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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