UCA Contractor / Subcontractor Application

UCA Contractor / Subcontractor Application

Provide your contractor details and supporting documents for UCA review—submission does not guarantee work.
Applicant and Business Information
Full Legal Name / Contact Person

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing / Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Business / Company Name and Business Structure / Type
Services, Experience, and Work Scope
Trade / Service Category
Specific Services Offered

Other
Years of Experience
Areas Served

Other
Project Types Accepted

Other
Availability
Typical Crew / Team Size

Other
Equipment, Resources, and Capabilities
Certifications / Special Training

Other
Prior Project / Work Summary
Service Limitations or Exclusions
Preferred Communication Method

Other
Interest Type
License, Insurance, and References
License / Credential Details
License / Credential Number
Insurance Provider
Insurance Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Professional Reference Name

First NameMiddle NameLast Name
Professional Reference Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Supporting Documents
License / Certification Document

Cancelof
Insurance Card / Policy Documentation

Cancelof
Resume or Company Capability Summary

Cancelof
Work Examples / Portfolio or Other Supporting Document

Cancelof
Acknowledgment and Signature
Electronic Signature

Sign by drawing or typing your signature.
Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

UCA Contractor / Subcontractor Application

Applicant and Business Information

Services, Experience, and Work Scope

License, Insurance, and References

Supporting Documents

Acknowledgment and Signature