Contractor License Renewal
Please provide all required details to help expedite the process
Customer
First Name
Last Name
Additional Customer
First Name
Last Name
SSN
Provide your SSN
Date Of Birth
MM/DD/YY
Classification type (s220/ S270 / S260 etc.)
type (s220/ S270 / S260 ect)
ID or Registration Number If Available
We can request from the License Division
Business Address Location (Make Sure is still the same Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Mobil Number
Alternate Number
What Services do you Need? Select one
License Renewal Application
Other
We Will need the following items: send this via email to contact@pclcu.com
CE Certificate Completion - In most cases will be sent to the division by the provider
Liability Insurance information - COI -with state of utah info being the holder on policy
Workes Comp insurance or WC Waiver
Copy of Customers Id & Social Security
Please write down any details about any changes that have happened within the past 2 years since you got your license. Please provide your Insurance agent information.
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