Contractor Application Business InformationFirst Name(Required) Last Name Email(Required) Legal business name(Required) EIN number(Required) Years in business Phone Number(Required)Licensing InformationContractor license numbers(Required) License expiration dates(Required) MM slash DD slash YYYY Insurance DocumentationBond information Coverage amounts Insurance certificates Services OfferedAreas of expertise 1(Required)General ContractorsWater Damage SpecialistsFire & Smoke Restoration TechnicianMold Remediation SpecialistsElectrical ContractorsPlumbing ContractorsRoofing ContractorsHVAC SpecialistsCarpet & Flooring ContractorsDrywall & Painting ContractorsContents Restoration SpecialistsBiohazard Cleanup SpecialistsOtherAreas of expertise 2General ContractorsWater Damage SpecialistsFire & Smoke Restoration TechnicianMold Remediation SpecialistsElectrical ContractorsPlumbing ContractorsRoofing ContractorsHVAC SpecialistsCarpet & Flooring ContractorsDrywall & Painting ContractorsContents Restoration SpecialistsBiohazard Cleanup SpecialistsOtherOther Experience levelExpertIntermediateBasicDocument UploadsW9 formAccepted file types: pdf, doc, docx, Max. file size: 2 MB.Insurance certificatesAccepted file types: pdf, doc, docx, Max. file size: 2 MB.License documentationAccepted file types: pdf, doc, docx, Max. file size: 2 MB.Bond certificatesAccepted file types: pdf, doc, docx, Max. file size: 2 MB.Digital Signature(Required)Please sign in the field below to acknowledge and confirm the above information. Your digital signature will be considered legally binding.EmailThis field is for validation purposes and should be left unchanged.
