Contractor Account Request
Fill out and submit the fields below in order to request a contractor account for you or your business.
Contact Information
Name
*
First Name
Last Name
Business Name
Are you using a DBA?
*
Yes
No
"Doing Business As" Name
*
Email Address
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Phone
*
Please Select
WORK
CELL
HOME
OTHER
Is your business phone number different than your primary phone number?
*
Yes
No
Business Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your mailing or business address different than your primary address?
*
Yes
No
Mailing or Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Licensing Information
Which type(s) of contracting are you requesting be attached to your contractor account?
*
Electrical Contractor
General Contractor
Irrigation Contractor
Landscape Contractor
Mechanical Contractor
Mobile Home Dealer
Mobile Home Setup Contractor
Plumbing Contractor
Refrigeration Contractor
Unlicensed Contractor
What is your State of North Carolina Electrical Contractor's license number?
*
What is your State of North Carolina General Contractor's license number?
*
What is your State of North Carolina Irrigation Contractor's license number?
*
What is your State of North Carolina Landscape Contractor's license number?
*
What is your State of North Carolina Mechanical Contractor's license number?
*
What is your State of North Carolina Mobile Home Dealer's license number?
*
What is your State of North Carolina Mobile Home Setup Contractor's license number?
*
What is your State of North Carolina Plumbing Contractor's license number?
*
What is your State of North Carolina Refrigeration Contractor's license number?
*
Describe the typical kinds of work you do as an unlicensed contractor (i.e. sign installs, ventilation installs, fireplace installs, solar panel installs, etc.).
*
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Authorized Signers
Is the license holder/qualifier the only Authorized Signer for permits?
*
Yes
No
List the first and last names of all Bona Fide Employees who are also Authorized Signers below:
*
We will need a certified letter signed by a license holder/qualifier which lists each Bona Fide Employee who is an Authorized Signer. Please upload this letter below.
*
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