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.
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.
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?
*
General Contractor
Electrical Contractor
Mechanical Contractor
Plumbing Contractor
Unlicensed Contractor
What is your State of North Carolina General Contractor's license number?
*
What is your State of North Carolina Electrical Contractor's license number?
*
What is your State of North Carolina Mechanical Contractor's license number?
*
What is your State of North Carolina Plumbing Contractor's license number?
*
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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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