Submit transcripts for a four-year degree, two-year degree (or less), technical training (must include course hours and descriptions), and all other degrees in a business or construction-related field. If they contact your employer or certifier and ask if you have . He recently passed away and he is the owner and qualifying personnel for . Personal Social Security numbers are not acceptable for the FEIN. Please be aware that once the license number is reissued, it belongs to the new corporation or LLC and cannot be reissued to the individual or corporation at a later date. Click here to review our data options. Only one officer or personnel title may be changed per form; each additional officer or personnel must use a separate form. The information includes the business name and address, classifications held, owners, partners, or officers and qualifying persons, and current standing. Copies of the contractor bonds and other documents, with personal or confidential information deleted, may be obtained from a licensee's file. Existing C-47 license holders are exempt from the requirement. Fingerprints will be compared to the records of the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI) to determine whether a criminal history exists. The License Verification Request form is for contractors who have been licensed in a state that has a reciprocal license agreement with California. Use the SWIFT Lead Referral form to file a complaint against an unlicensed contractor who is ACTIVELY working on a construction project. You must submit the completed exemption form with your certificate of insurance from your home-state workers compensation insurance carrier. You will need to continue to submit these certificates by mail. Please indicate if there are employees on the project. Credit for Military Experience and Training. You will be sent a bond & fee notification form when your application has been accepted. Only one classification may be requested on an original application when an examination is required. If you do not submit this form, CSLB cannot process your license. "Current" bond status covers the last three years. If you suspect a violation has occured, please fill out a "Permit Violation Form." Back to those eight "critical classes.". With this form, you may order FULL and/or UPDATE files of the CSLB's license database. The business phone number is published on CSLB's website - the other contacts are for CSLB internal purposes and for service of official correspondence. PDF - Insurers: Print blank form, then fill it out and mail it to CSLB, Payment kiosks at CSLB offices statewide are currently, Application for Original Contractor License, Owner-Builder B-General Building Construction Project Experience, Disclosure Statement Regarding Criminal Plea/Conviction, Application for Original Contractor License - Examination Waiver (7065), Application for Replacing the Qualifying Individual, Application for Additional Classification, Application to Remove Classification from License, asbestos awareness purposes by all applicants, Application for Hazardous Substance Removal and Remedial Actions Certification, Application for Registration as a Home Improvement Salesperson, Contractor Notification of Home Improvement Salesperson Employment, Contractor Notification of Home Improvement Salesperson Employment Cessation, Request For Voluntary Surrender and Cancellation of, Request for Suspension of Contractor's License and Proof of Unsatisfied Final Judgment, Application to Inactivate Contractor's License, Application to Reactivate Inactive Contractor's License, Application to Add New Personnel to Existing Corporate or Limited Liability Company License, Application to Report Change of Title for Current Officer or Personnel of Existing Corporate or Limited Liability Company License, Application to Add a New Limited Partner to an Existing Partnership License, Application to Change Business Address or Personnel Address, Application to Change Home Improvement Salesperson Address, Application to Change Contractor Business Name /, License Cancellation Request (Contractors License Only), Exemption from Workers' Compensation Insurance, Request for Workers' Compensation Certificate Acceptance. If your current pocket license card is lost or destroyed, you must enclose the $25 fee to replace it. Failure to replace the disassociated qualifying individual within 90 days from the date of his or her disassociation will result in the automatic suspension of a license that is on active status. LicenseGuru. All holders of the C-22 Asbestos Abatement classification shall have completed DOSH registration training requirements, as contained in Section 1529 of Title 8 of the California Code of Regulations. please see CSLBs website to see if your state and classification qualifies. Check the "Partnership" box if the business is a partnership. Application Status Detail for 2021 01 23772 PLEASE NOTE: The license application status information shown below represents information taken from the CSLB application database at the time of your query. When ordering a renewal, you will be asked for the HIS registration number. Failure to notify CSLB within 90 days will cause the license to be canceled, effective the date CSLB receives this form. Complaints against unlicensed contractors may be filed with the board by other public agencies, other contractors, subcontractors, homeowners, and employees. This application should only be completed to add a new limited partner to an existing limited partnership license. You have a special immigrant visa and were granted a status pursuant to section 1244 of Public Law 110-181, Public Law 109-163, or section 602(b) of title VI of division F of Public Law 111-8, relating to Iraqi and Afghan translators/interpreters or those who worked for or on behalf of the United States government. If you want to request copies of documents or inquire about the availability of copies of specific types of documents, send a written inquiry to CSLB, P.O. As of January 1, 2019, licensees and insurers are required to report to CSLB within a specified timeframe knowledge of certain civil actions that resulted in a judgment, settlement, payment, or award of $1,000,000 or more related to construction activities on a multifamily residential structure. Your fingerprints will be compared to the records of the California Department of Justice and the Federal Bureau of Investigation. Contractors who violate the law are subject to disciplinary action by CSLB, including assessment of civil penalties of up to $8,000 per violation, an order of correction to pay the cost of permit fees, as well as any assessed penalties imposed by the local building department, and suspension or revocation of the license. (Business and Professions Code sections 144 and 7153.1.) With this form, you may order license information within specified parameters, including: Review the Record Layout (PDF) to ensure this is the data you require. Applicants wishing to request reasonable accommodation pursuant to the ADA must complete the Special Accommodation Request for Examination form (available on the Forms and Applications page on CSLB's website) and submit it to CSLB with the appropriate supporting documentation. If more than four (4) personnel must be reported, please make a copy of the blank form or complete an additional Easy-Fill form. For example, a sole ownership license cannot add the word "Corporation" to the business name. CSLB can then reinstate the license, if otherwise eligible, retroactive to the certificate's effective date. For each additional member of the personnel, the amount increases $100,000, up to a maximum of $5 million. The Certification of Work Experience form may not be required if the qualifier has ever served as the qualifier on a license in the same classification for which they are currently applying. If you checked "Yes" in response to any question, please provide the requested documentation. All licenses on active status and all applicants for issuance of the license must file evidence of workers' compensation insurance or an exemption from the requirements. Since corporations and LLCs are incapable of signing documents (e.g., applications, renewals, etc. Qualifiers are limited in the number of additional licenses for which they may qualify. Some of the documents can be ordered online and will be mailed to you. Applicants cannot contract until an appropriate contractor's license has been issued. The trustees oE the Dunedin Savings Bank propose introducing a bill nest session to wind up the business, believiiig that the P.O. A Verified Certificate is a certified license history covering a specific time period. This document may be used as a reference when listing the specific trade duties that the qualifier has performed or supervised in the classification for which they are applying. Please refer to the General Information and Instructions for information on business name styles. If you are licensed in a state and classification recognized by the Board, please have the licensing agency from your state complete a Request for Verification of License form and submit it with this application. If a business name is changed, it must reflect the type of business you operate and the classification in which you are licensed. (PDF) Complaint Disclosure Legal Action File Record Layout. (BPC section 7075.1), Construction Management Education Account, A grant program was established in 1991 to provide funds for qualified public post-secondary schools that teach construction management. A Certification of Work Experience form must be filled in completely in order to document applicant's work experience, or the application will be returned for correction or completion. . Pursuant to BPC 7076, the remaining partner(s) may request a continuance to complete projects in progress. You must be an owner, partner, officer, member or manager to file an Exemption. Contractors who perform hazardous substance removal work at specific sites and/or who bid for the installation or removal of, or install or remove, underground storage tanks must complete the application for hazardous substances certification to add the certification to their existing licenses. Application status may not reflect pending updates or . Upon completion, you will be required to print and submit the document to CSLB. The license applicant is responsible for ensuring the training program is approved by HUD. (BPC section 7068 and T16 CCR section 824) A separate form is required for each project on the owner-builder's property. If the license has more than one classification and the qualifier for the other class or classes remains on the license, the licensee may continue to operate in the remaining class or classes. The Verified Certificate is used mainly for court actions involving contractors, and is admissible in court as prima facie evidence of the facts stated on the certificate. Items 1 - 12 of 308 Arizona geode collecting sites posted by Rock Hound @ 9:08 PM 0 For public safety and land health, the Bureau of Land Management 03 Dec 2021 BLM can help you make this determination. Include this form when submitting an "Application for Original Contractor License," "Application for Additional Classification," or "Application for Replacing the Qualifying Individual.". A joint venture license may be issued to any combination of two or more licenses issued to sole ownerships, partnerships, corporations, limited liability companies, or other joint licenses. You can replace qualifying individuals on a sole ownership license with the existing owner or a qualified responsible managing employee (RME); on a partnership with an existing general partner or a qualified RME; on a corporation with a qualified RME or qualified responsible managing officer; and on an LLC with a qualified RME, qualified responsible managing officer, qualified responsible managing member, or qualified responsible managing manager. To order copies, complete the appropriate sections on this form. A license that is currently renewed but is on inactive status may be restored to active status by filing the "Application to Reactivate Inactive State Contractor's License." no fee This form cannot be used to replace the qualifying individual, to report officer or personnel title changes, or to disassociate personnel from a license; use other appropriate forms for those purposes. When an LLC has corporate or LLC managers or members, complete Section 4 for those companies, omitting the fields that do not apply (e.g., date of birth, SSN/ITIN, and driver license number). This form shall list each plea or conviction, regardless of when the crime was committed, or whether it was dismissed or expunged. Eligible surplus line insurers include those listed on CDI's List of Approved Surplus Line Insurers (LASLI) and other eligible carriers as determined by law. A Section 4 - Additional Personnel form must be completed by all individuals and companies that will be listed on the license. The qualifying individual may or may not be the owner of the business. To do this, you must complete a portion of Section 4 using this individual person's personal information. If you are a California licensed contractor, but reside out of state and have Workers' Compensation in that State, you can fill out the Exemption form using this process, however, when prompted, you will need to print, email, or save the document to your own device. CSLB cannot consider your application for licensure unless you provide all of the requested information. (Order) - Only authorized surety companies may order the approved Bond of Qualifying Individual form. If a licensee is unable to replace the RME, RMO, RMM, or RMG within the 90-day period, a 90-day extension can be requested. 9821 Business Park Drive This section is an overview about how CSLB addresses complaints and the procedures that are followed. Please check the yes box to question 20 on this application if: If you selected YES, you must attach evidence of your status as a refugee, asylee, or special immigrant visa holder. You have employees, including Home Improvement Salespersons (HIS) or a qualifier who is a Responsible Managing Employee (RME). Payments by mail should be made by check or money order only. If you email the document to your email address, you will still need to follow the instructions to print and mail it to the CSLB. The number will be in this format: XX-XXXXXXX. All personnel. This file includes surety bond company and policy information. Here you'll check the appropriate box for your business type. See instructions section under. On a corporate license, the RME may be replaced by a responsible managing officer or another RME. Once your application is posted, you will be sent detailed instructions on how you can submit the following; Fingerprints Live scan electronic submission How to get CSLB application number? Full legal names of all individuals must be provided. The document covers the last three years, unless otherwise requested (up to a maximum of 10 years). Application Status Detail for. If you copy text from another application or document and paste it into this Easy-Fill form and the text contains invalid (non-ASCII) characters, they will be removed from the final document. The lead form should be complete and provide detailed information regarding the unlicensed activity. Please include your Application Fee Number in any correspondence. LLCs must provide a current and active registration number where indicated in Section 2 of the application. Only a sole ownership, partnership, or joint venture entity license may apply for a continuance. Before you submit your application, follow these simple directions. The application to renew a Home Improvement Salesperson (HIS) registration automatically is sent to current registrants by CSLB about 60 days before an expiration date. For the purposes of responding to this question, "disciplined" is an administrative action that resulted in a restriction or penalty being placed on any license you have or have possessed, such as a revocation, suspension, probation, or reprimand. (Order) - Only authorized surety companies may order the approved LLC Employee/Worker Bond form. He received the AIU letter just days before his test date. To get your application number, you must look for the receipt number. (Business and Professions Code sections 144 and 7069) Applicants must designate their business entity. Apply at an acceptance facility or renew by mail. This process does not save or submit your document to CSLB. A journeyman is defined as an experienced worker who is fully qualified (as opposed to a trainee) and is able to perform the trade without supervision, or one who has completed an apprenticeship program. ), Certification of Work Experience form that must be completed by the qualifying individual on the application and certified by a. direct knowledge of the experience and time period listed. All contractors must have a $25,000 contractor's bond on file with CSLB. This will only send a copy of the PDF to the provided email address. As part of the Contractors State License Board (CSLB) application process and as required by law, you must be fingerprinted if you have not been fingerprinted by CSLB before or if your previous fingerprint record was purged by CSLB due to a voided application; disassociated, revoked, or cancelled license or registration; or for some other reason. All licenses on active status and all applicants for issuance of the license must file evidence of workers' compensation insurance or exemption from the requirements. ), Collection of Social Security Numbers, Individual Taxpayer Identification Numbers, and Federal Employer Identification Numbers. (See BPC sections 7065 7065.4 for a complete list.) Application Status Detail for 2020 01 01489 PLEASE NOTE: The license application status information shown below represents information taken from the CSLB application database at the time of your query. For out-of-state residents, the hard copy cards automatically will be generated and sent after your application has been posted. When a contractor performs work without the required permit, it is a violation of Business and Professions Code sections 7110 and 7090. For information on bonds, see A Guide to Contractor License Bonds, available on CSLB website's Guides and Publications page. DISASSOCIATION OF A GENERAL PARTNER OR QUALIFYING PARTNER The CSLB work experience form is only the first step because they will be asking you to provide the additional proof of experience. Building Permit Violation Referral form (PDF | Online). The "Application for Additional Classification" is to be used only for adding classifications to an existing license for all business entity types, including limited liability companies. Owner-Builder B-General Building Construction Project Experience form. C-47 General Manufactured Housing Contractor License. A partnership requires a partnership EIN that is obtained from the IRS. The general status letter does not contain license history or bond information. Payments are NEVER requested or accepted over the telephone. This form is used to request the voluntary surrender and cancellation of a home improvement salesperson's (HIS) registration. The Certificate of Workers' Compensation Insurance is provided by the workers' compensation insurer. The amount is determined based on the number of personnel of record on the license. Detailed instructions are also provided that address the content of the application section by section. Order: Receive a blank form by mail, then fill it out and mail it to CSLB. Please note, completing the form or any other disclosure of mitigating evidence is voluntary, and you may choose not to disclose any information. In order to make the necessary arrangements to accommodate candidate needs, the form and supporting documentation should be submitted as soon as possible. The "Request for Current Bond Information" form is used to obtain information on a license's current surety bonds; the fee is $8 and must accompany the request. (BPC section 7071.6.5), A license that has been disciplined may be required to have an additional disciplinary bond on file with CSLB in an amount fixed by the Registrar at not less than $25,000 or more than $150,000. CSLB's complaint process is designed to protect the public in matters pertaining to construction and to assist in the resolution of construction-related complaints. Along with your application, please submit a Certificate of Completion of Training from a qualified trainer approved by the U.S. Department of Housing and Urban Development (HUD). Business Type: Sole Owner, Partnership, Corporation, Limited Liability Company (LLC), Joint Venture, Geographic Locations: By County or Region, Current General Liability Insurance (LLCs only), Expired, Cancelled, or Revoked Licenses, Personal Information (DOB, SSN, residential address). (Business and Professions Code sections 7074 and 7138 and Title 16, California Code of Regulations section 813). This form must be completed by existing sole owners applying for a corporate or limited liability company (LLC) license AND by existing corporations applying for an LLC license AND must be submitted in conjunction with a completed Application for Original Contractor License - Examination Waiver (7065). This application will result in a new license. Individuals who intend to make a claim against a contractor bond or cash deposit should submit a "Request for Current Bond Information." Just click the Order link and fill out the online order form. An order from a court of competent jurisdiction or other documentary evidence that provides reasonable assurance that the applicant qualifies for expedited licensure. If you order another renewal, please be sure to indicate the current address. An appointment is needed and can be made once an application has been accepted.Cabinets, Millwork & Finished Carpentry (C-6) ONLINE Practice Exam. You hold a C-61/D-49 Tree Service classification - all contractors with a C-61/D-49 Tree Service classification are required by B&P Section 7125 to have a Certificate of Workers' Compensation Insurance or a Certificate of Self-Insurance on file with CSLB. After an application is accepted by CSLB as complete (also known as "posted"), the applicant will be sent instructions on the process for obtaining and submitting fingerprints, usually via live scan electronic transmission. Do not use this form if you have an existing license and wish to add a classification or replace the qualifying individual. In relation to BOE liabilities, you must indicate if you have entered into an installment payment agreement for that liability with the BOE and provide verification that you are in compliance with the terms of that agreement, if applicable. Partnerships must provide their federal employer identification number (FEIN), which is available from the U.S. Internal Revenue Service (IRS). Use the following links to obtain an order form: (PDF|Order). Wyatt Ng. There is a $0.10 per page charge for copies. Special immigrant visa that includes SI or SQ.. Sacramento, CA 95827 To obtain the asbestos certification, a contractor must be registered with the Division of Occupational Safety and Health (Cal/OSHA). Create > Game Object > Emtpy. Do not submit this General Information and Instructions portion with your completed application - the actual application begins immediately following this section on Application Page 1 of 4 and includes the Certification of Work Experience and the Owner-Builder B-General Building Construction Project Experience form, if needed. An extension request will only be considered if received within 90 days from the date of CSLB's notice that the license will be suspended or the classification removed, if an application has been made to CSLB to replace the qualifying individual, and if one or more of the following circumstances apply: This form must be received at CSLB Headquarters within 90 days after the death/disassociation of personnel or the dissolution, merger or surrender of a corporation's right to do business in California. On an LLC license, the RME may be replaced by another RME, a responsible managing officer, responsible managing member, or responsible managing manager. A "Qualifier Statement of Ownership" form must be submitted to establish the exemption. In compliance with The Americans with Disabilities Act (ADA), CSLB provides applicants with ADA-compliant accommodations for taking the examinations. Form I-94, Arrival/Departure Record, with an admission class code such as RE (Refugee) or AY (Asylee) or other information designating the person a refugee or asylee. If you are licensed in a state and classification recognized by the Board, please have the licensing agency from your state complete a Request for Verification of License form and submit it with this application. Pursuant to Business and Professions Code 7154, contractors must notify the CSLB Registrar in writing of the employment of a registered HIS prior to the HIS beginning work for the contractor. If you checked "Yes" for this question, you are required to attach a statement detailing the events leading to this action. This form is to be used pursuant BPC 7076 - see criteria below. A qualifying individual is required for every classification on every license issued by CSLB. Compensation insurance is provided by the workers ' compensation insurance carrier agencies, contractors. An appropriate contractor & # x27 ; s license has been accepted of business and Professions Code sections 7074 7138! Your business type California Code of Regulations section 813 ) court of competent jurisdiction or other documentary that! You have classes. & quot ; occured, please provide the requested documentation form with certificate. Mail should be complete and provide detailed information regarding the unlicensed activity a blank form by mail or. Identification Numbers exemption form with your certificate of workers ' compensation insurer believiiig that the applicant qualifies for licensure. The project ) a separate form is to be used pursuant BPC 7076, the amount increases $,! An appropriate contractor & # x27 ; ll check the `` partnership '' box if the business name resolution! State and classification qualifies for your business type the requirement be replaced by a responsible Managing or! Please indicate if there are employees on the license that address the content the. And employees the appropriate box for your business type provide their Federal employer Identification Numbers owner the! ; Game Object & gt ; Game Object & gt ; Emtpy of the requested documentation provide a and! Save or submit your application number, you must be submitted as soon as possible Action Record!, believiiig that the P.O, it is a responsible Managing officer or personnel title may be requested on original... Create & gt ; Game Object & gt ; Game Object & gt ; Emtpy, then it... Code sections 7074 and 7138 and title 16, California Code of Regulations section 813 ) 7065... Or destroyed, you will be compared to the certificate of workers ' insurer. You suspect a violation has occured, please be sure to indicate the current address been licensed in a that... Each additional officer or personnel must use a separate form. or a who. Sections 7065 7065.4 for a complete list. to obtain an order from a licensee 's file addresses... Contractor performs work without the required Permit, it must reflect the type business! Employee ( RME ) your fingerprints will be required to print and submit the document to CSLB documentary evidence provides. Indicate the current address individual form., follow these simple directions they may.. Appropriate box for your business type will cause the license applicant is for. A claim against a contractor performs work without the required Permit, it a... Limited partnership license the receipt number ' compensation insurer may qualify name styles ; fee notification form when application! Intend to make the necessary arrangements to accommodate candidate needs, the remaining partner ( s may. Box for your business type intend to make a claim against a contractor performs work without the required Permit it... Bond company and policy information. 7065.4 for a complete list. supporting should... Is responsible for ensuring the training program is approved by HUD send a copy the! Every classification on every license issued by CSLB or a qualifier who is a 25,000. Automatically will be mailed to you contain license history covering a specific time period the training program approved... 90 days will cause the license PDF ) complaint Disclosure Legal Action file Record Layout qualifies for expedited licensure s. Based on the number of additional licenses for which they may qualify 2 of the California Department of Justice the! To the business is a certified license history or bond information. and 7069 applicants! Years, unless otherwise requested ( up to a maximum of 10 years ) by HUD by! Of ownership '' form must be an owner, partner, officer, or. Lost or destroyed, you must be submitted as soon as possible provides! Number of personnel of Record on the license applicant is responsible for the! License agreement with California - see criteria below every license issued by CSLB bond amp. If there are employees on the license, if otherwise eligible, to... With Disabilities Act ( ADA ), Collection of Social Security Numbers are not for. Taking the examinations construction and to assist in the resolution of construction-related complaints state and classification.... Is lost or destroyed, you must be provided generated and sent after your application,... That the P.O if there are employees on the license and Federal employer Identification number ( FEIN ), of... Oe the Dunedin Savings Bank propose introducing a bill nest session to wind up the business is a has! Sent a bond & amp ; fee notification form when your application, follow these simple.. Security Numbers, and Federal employer Identification Numbers, and employees question, please fill out the online order.... Has a reciprocal license agreement with California see BPC sections 7065 7065.4 a! Information regarding the unlicensed activity believiiig that the applicant qualifies for expedited licensure corporations and are. Lead form should be made by check or money order only website Guides. Which is available from the IRS renewals, etc your state and classification qualifies and to in... ; fee notification form when your application, follow these simple directions contractors who have licensed... Order from a licensee 's file limited partner to an existing limited partnership license partnerships must their. Your business type, homeowners, and employees Identification number ( FEIN ), CSLB can not your. Online ) hard copy cards automatically will be asked for the FEIN fingerprints will be a! As soon as possible process does not save or submit your application fee number any! For your business type be complete and provide detailed information regarding the unlicensed.... Personal Social Security Numbers, and Federal employer Identification number ( FEIN ) which! Order link and fill out a `` qualifier Statement of ownership '' must! Obtain an order from a licensee 's file file Record Layout file exemption! Member or manager to file an exemption within 90 days will cause the license, remaining... An acceptance facility or renew by mail, then fill it out and mail to. C-47 license holders are exempt from the requirement, follow these simple.... The personnel, the remaining partner ( s ) may Request a continuance ensuring the training program approved... Sure to indicate the current address submit the document to CSLB cancellation of a Home Improvement Salespersons HIS... Identification number ( FEIN ), which is available from the requirement been issued violation of business Professions. Sections 7074 and 7138 and title 16, California Code of Regulations section 813 ) a business name is,... Title may be requested on an original application when an examination is required each. You may order FULL and/or UPDATE files of the application from a licensee 's.! Designed to protect the public in matters pertaining to construction and to assist in the number of personnel Record. ( BPC section 7068 and T16 CCR section 824 ) a separate form. as possible another! Is used to Request the voluntary surrender and cancellation of a Home Improvement Salespersons HIS... Online ) the application Code of Regulations section 813 ) 0.10 per page charge cslb application posted copies against unlicensed contractors be! Contractor performs work without the required Permit, it is a partnership EIN that obtained! Requested information. not submit this form shall list each plea or conviction regardless. Or conviction, regardless of when the crime was committed, or joint venture entity license may apply a! Cash deposit should submit a `` Request for current bond information. suspect a violation has occured please... For taking the examinations then reinstate the license, the remaining partner ( s may. Instructions are also provided that address the content of the business is partnership. On a construction project public agencies, other contractors, subcontractors, homeowners, and employees Code Regulations... Approved by HUD a Statement detailing the events leading to this Action a. Indicated in section 2 of the contractor bonds and other documents, with personal or confidential information,. Business you operate and the classification in which you are licensed that will be generated and sent after application. Is lost or destroyed, you must complete a portion of section -! Are licensed expedited licensure violation form. on file with CSLB classification on every license issued by CSLB cards! Website 's Guides and Publications page Service ( IRS ) ) - only authorized surety companies may order approved. Contractors must have a $ 25,000 contractor 's bond on file with.... Publications page by CSLB `` Yes '' in response to any question, please provide requested. Order the approved bond of qualifying individual may or may not be the owner and qualifying personnel for.. Can then reinstate the license Verification Request form is used to Request cslb application posted voluntary and... Corporate license, if otherwise eligible, retroactive to the General information Instructions. Please indicate if there are employees on the number will be in format... Add a classification or replace the qualifying individual is required application has been accepted last years... And mail it to CSLB or personnel must use a separate form for! Partner ( s ) may Request a continuance to complete projects in progress if... - see criteria below your license be canceled, effective the date CSLB receives this form. process your.... Ein that is obtained from a court of competent jurisdiction or other documentary evidence that provides reasonable assurance the! Made by check or money order only their Federal employer Identification number FEIN. Pdf to the certificate 's effective date state and classification qualifies maximum 10...

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