Homepage Printable Sfn 12011 Template
Navigation

The SFN 12011 form, labeled as the Contractor License Renewal Application, represents a crucial document issued by the Secretary of State's office, targeted at contractors in North Dakota due for their license renewal. Delineated with clear instructions and a deadline, the form, updated for the period ending in March 2008, encompasses several key fields such as the contractor's ID number, license number, the class of license, and comprehensive contact information, including the business's telephone number, Federal ID, and the crucial certificate of liability insurance expiry date. Significantly, it also prompts the contractor to disclose any North Dakota sales and use tax permit held, information about Workforce Safety & Insurance, and queries regarding any substantial work exceeding $25,000 completed within the state in the preceding calendar year. In a stringent compliance effort, it further inquires about any past legal or financial troubles involving the contractor or its officers that could impact their eligibility for license renewal. Moreover, it stipulates the renewal fees alongside additional penalties for late submissions, anchoring the imperative that the process is both a legal obligation and a procedural necessity for maintaining the validity of a contractor's operational status in North Dakota. This concerted effort to gather detailed information underscores the comprehensive nature of the state's vetting process for contractors, aiming to ensure accountability, financial solvency, and operational transparency in the construction industry.

Form Preview

CONTRACTOR LICENSE RENEWAL APPLICATION

SECRETARY OF STATE

SFN 12011 (12-07)

DUE: MARCH 3, 2008

FOR OFFICE USE ONLY

ID #

WO #

License #

Class of License

 

Business Telephone #

 

 

Business Federal ID #

Business Type

 

 

 

 

 

 

 

 

 

 

 

Certificate of Liability Insurance expires on:

 

 

 

 

 

Renewal Fee

ND Sales and Use Tax Permit #

If expiration date is prior to date of this renewal, please provide a current certificate

 

$

 

 

 

 

 

 

 

 

 

 

 

 

Applicant's name as currently licensed with this office.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail Address

 

 

 

Web Address

 

 

ND Workforce Safety & Insurance

 

 

 

 

 

 

 

 

 

 

Account #

 

 

 

 

 

 

 

1.

Do you have a North Dakota Sales and Use Tax permit?

Yes

No

If yes, record the account number in the above box. For information regarding

 

sales and use tax permits, contact the North Dakota Tax Department at 701-328-3470.

 

2.

Did you have any employees during this reporting period?

Yes

No

If yes, record the Workforce Safety & Insurance account number in the above

 

box. For information regarding Workforce Safety & Insurance, contact 701-328-3800.

 

3.

Is the information listed above, including address, still correct?

Yes

No If no, please make corrections.

 

4.

Name of contact person for this report _________________________________________ Daytime Telephone # (____)_____________.

5.

MUST BE ANSWERED Have you completed any work during the preceeding calendar year, in NORTH DAKOTA, where the project, contract, or subcontract amount has exceeded $25,000 per job?

Yes - If yes, continue with instructions

No - If no, proceed to question #6

INSTRUCTIONS

1.List the names and addresses of any companies or individuals for whom you completed a project, contract, or subcontract during the preceeding calendar year in North Dakota in excess of $25,000.00. (Reference North Dakota Century Code, Section 43-07-10.)

2.Identify the type of work completed.

3.Specify the dollar value of the work.

4.If a performance bond was required, list the name and address of the issuing company. If no performance bond was required, write "None".

 

 

2. TYPE OF WORK

3. VALUE OF WORK

4. PEFORMANCE BOND

 

 

 

 

1. NAME

CITY, STATE

COMPLETED

COMPLETED

NAME

CITY, STATE

(Example) John Doe Co.

Bismarck, ND

Concrete Work

$25,000

None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALL OF THE FOLLOWING QUESTIONS MUST BE ANSWERED.

6. If your answer is "YES" to any of the following questions, give the details on a separate sheet and attach to this application.

a. Has any license been denied, suspended or revoked

Yes

No

For you?

For any officer?

Yes

No

For any partner?

Yes

No

For any entity with which you, officers or

 

 

partners have any interest in or are

 

 

associated with?

Yes

No

b. Have you or a corporation, limited liability company, or partnership of which you are or were an officer or partners, been charged with a civil lawsuit in

which fraud or misrepresentation was charged or alleged?

Yes

No

 

(CONTINUED ON BACK)

SFN 12011 (12-07) Page 2

c.Have you or a corporation, limited liability company, or partnership of which you are or were an officer or partner, been involved in or initiated bankruptcy or insolvency proceedings during the past five years?

Yes

No

d.Are there any judgments, arbitration awards, mechanics liens or federal or state tax liens against you, or a corporation, limited liability company, or partnership of which you are an officer or partner, in North Dakota or elsewhere?

Yes

No

e. Has the applicant, or officers or partners of the applicant been charged with or convicted of a felony or misdemeanor within the last five years?

Yes

No If Yes, indicate the date, name of the individual charged or convicted, city, state, disposition, and whether a felony or misdemeanor. (This includes ALL crimes, including nonsufficient funds checks, no account checks, and DUIs.)

7.North Dakota Century Code, Section 43-07-19 states every applicant who is not a resident of the state of North Dakota, by signing and filing the application appoints the Secretary of State as the applicant's true & lawful agent upon whom may be served all lawful process in any action or proceeding against such non-resident contractor.

The undersigned, who is 18 years of age or older, hereby certifies that all payroll taxes (including North Dakota income tax and premiums for workforce safety & insurance and unemployment insurance) due and payable on the day of this application have been submitted and that all of the information provided on the renewal application is true and complete.

Signature of Owner*, Partner, or Authorized Officer

Date

*If a sole proprietorship business structure, a spouse is not authorized to sign on behalf of the owner.

FEES:

 

 

 

 

 

 

 

 

TOTAL PAYABLE

NEW LICENSE

 

CONTRACTOR LICENSE

RENEWAL FEES

PENALTY FEES

 

AFTER MARCH 3 AND

FEES

 

 

 

 

 

 

 

ON OR BEFORE JUNE 2

 

 

 

 

 

 

 

 

 

Fee $300.00

Class A

for contracts over

$250,000

Fee $60.00

Additional $45.00

 

Total

$105.00

Fee $200.00

Class B

for contracts up to

$250,000

Fee $40.00

Additional $30.00

 

Total

$ 70.00

Fee $150.00

Class C

for contracts up to

$

120,000

Fee $30.00

Additional $22.50

 

Total

$ 52.50

Fee $ 50.00

Class D

for contracts up to

$

50,000

Fee $10.00

Additional $ 7.50

 

Total

$ 17.50

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS:

1.The provisions for contractor licensing are found in Chapter 43-07 of the North Dakota Century Code.

2.The renewal deadline for a contractor's license is March 3, 2008. If not renewed by that date, the current contractor's license automatically expires and completing any work over $2,000 per job would be in violation of 43-07.

3.If the license renewal application is filed after the deadline, state law requires the payment of a penalty fee. This penalty fee must be submitted along with the renewal application and renewal fee at the time the late application is filed. The penalty fees are listed above.

4.Contractor license renewal applications will not be accepted after June 2, 2008. After that date, a previously licensed contractor must submit an application for a new license and pay the appropriate new contractor license fees.

5.If the pre-printed information on this renewal application is incorrect, please cross out the incorrect information and provide the correct information and initial the change.

6.By law, a contractor's license cannot be renewed unless a copy of the contractor's current certificate of liability insurance is on file with the Secretary of State's office. A new certificate is not needed if the pre-printed expiration date at the top of the front page is later than the filing date of this renewal application.

7.Questions #5 and #6 must be answered with either a yes or no. If yes, provide the requested information. Use more sheets, if necessary.

8.The renewal application must be signed by the owner, partner, or authorized officer. If the renewal application contains false information, the contractor's license is subject to revocation under the provisions of state law.

9.Checks for renewal and penalty fees must be made payable to the Secretary of State. The Secretary of State accepts VISA, Master Card, and Discover charge cards. If you wish to pay by credit card, complete the enclosed charge card authorization.

10.In addition to a contractor's license, you may need to obtain other licenses or permits as required by law (for example, including but not limited to the State Electrical Board and the State Plumbing Board).

FAX FILING: A document and Credit Card Payment Authorization may be faxed to 701-328-1690. A faxed filing does not expedite the process of the document in the office of the Secretary of State.

MAILING INSTRUCTIONS: Send the completed renewal application to:

Secretary of State

State of North Dakota

600 E Boulevard Ave Dept 108

Bismarck ND 58505-0500

Telephone: 701-328-3665 Toll Free: 800-352-0867 (ext. 8-3665) Fax: 701-328-1690 Web Page: www.nd.gov/sos/

File Attributes

Fact Number Description
1 The SFN 12011 form is for the renewal of a contractor's license in the state of North Dakota.
2 The deadline for renewal submission is March 3, with the application requiring a renewal fee and, if applicable, a penalty fee for late submissions.
3 Applications submitted after the deadline face penalty fees, and the opportunity to renew expires on June 2, after which a new license must be applied for.
4 The form dictates that a current certificate of liability insurance must be on file with the Secretary of State's office for the renewal to be processed.
5 Governing laws for the SFN 12011 and contractor licensing in North Dakota are found in Chapter 43-07 of the North Dakota Century Code.
6 The form asks for detailed information on any project, contract, or subcontract exceeding $25,000 completed in North Dakota in the previous calendar year, in compliance with North Dakota Century Code, Section 43-07-10.
7 The application includes questions regarding the applicant's history of legal and financial issues, such as denied licenses, legal charges, or bankruptcies, and requires full disclosure.
8 Non-resident applicants must appoint the Secretary of State as their agent for legal processes, as stated in North Dakota Century Code, Section 43-07-19.

How to Write Sfn 12011

Filling out the SFN 12011 form, the Contractor License Renewal Application, requires attention to detail and ensuring that all provided information is current and accurate. This form is a critical step for contractors who wish to continue their business in compliance with state laws, without the hassle of interruptions or legal issues. The process involves updating personal and business information, financial details, and affirming compliance with state regulations.

  1. Ensure your Contractor License is due for renewal and falls within the stipulated timeframe as mentioned in the form.
  2. Begin by clearly printing the applicant's name as it is currently licensed with the office in the space provided.
  3. If you have a North Dakota Sales and Use Tax permit, mark "Yes" and enter the account number. If not, mark "No" and consider contacting the North Dakota Tax Department for more information.
  4. Indicate whether you had any employees during the reporting period by marking "Yes" or "No". If "Yes", provide the Workforce Safety & Insurance account number.
  5. Confirm or update the pre-printed business and contact information. If any changes are necessary, make corrections directly on the form.
  6. Fill in the name and daytime telephone number of the contact person for this report.
  7. Answer the question regarding completed projects in North Dakota with a contract value exceeding $25,000. If "Yes", provide the required details such as names, addresses, type of work, value of work, and performance bond details on a separate sheet.
  8. Respond to all questions under the ALL OF THE FOLLOWING QUESTIONS MUST BE ANSWERED section. If any answers are "Yes", give detailed information on a separate sheet attached to this application.
  9. Review the legal provisions regarding non-resident contractors and verify that all payroll taxes and premiums are up-to-date as of the application day. Ensure all provided information is true and complete to the best of your knowledge.
  10. Complete the signature section with the owner, partner, or authorized officer's signature and date. Remember, for a sole proprietorship, a spouse is not authorized to sign on behalf of the owner.
  11. Calculate and include the renewal fee along with any applicable penalty fees for late renewal if necessary. Check the listed fees and make your check payable to "Secretary of State" or complete the enclosed charge card authorization for payment with a credit card.
  12. Before mailing, ensure you have attached any required additional sheets and that your current certificate of liability insurance is on file or included if the pre-printed expiration date has passed.
  13. Finally, mail the completed application to the address provided, ensuring it meets the deadline to avoid any lapse in licensure.

After submitting your SFN 12011 form, it's a waiting game. The office of the Secretary of State will review your application against compliance requirements and existing records. Should there be any discrepancies or need for additional information, they might reach out to you. Once everything is in order, your license renewal will be processed, extending your eligibility to operate as a licensed contractor in the state. It's critical to keep a copy of the submitted form and any correspondence for your records and future reference.

Your Questions, Answered

Welcome to the FAQ section for the SFN 12011 form, which is the Contractor License Renewal Application for the State of North Dakota. Below you will find answers to some common questions regarding this form and the renewal process.

  1. What is the deadline to renew my contractor's license in North Dakota using the SFN 12011 form?

    The renewal deadline for a contractor's license in North Dakota is March 3, 2008. It is crucial to submit your renewal application by this date to avoid automatic expiration of your current license and to prevent the need to pay additional penalties.

  2. How much are the renewal fees, and are there any penalties for late submission?

    The renewal fees vary based on the class of license, with amounts set at:

    • Class A: $300.00
    • Class B: $200.00
    • Class C: $150.00
    • Class D: $50.00

    Late submissions after March 3, 2008, incur penalty fees as follows:

    • Class A: Additional $45.00, making it a total of $345.00
    • Class B: Additional $30.00, totaling $230.00
    • Class C: Additional $22.50, for a total of $172.50
    • Class D: Additional $7.50, summing to $57.50
  3. What happens if I don’t renew by June 2, 2008?

    If a contractor fails to submit a renewal application by June 2, 2008, they must apply for a new license and are subject to the new contractor license fees. Renewal applications will not be accepted after this date.

  4. What documents are required for the renewal of the contractor’s license?

    To renew your license, you must provide a current certificate of liability insurance if the pre-printed expiration date is before the filing date of your renewal. Additionally, if you answered "yes" to specific questions on the form regarding your business activities in North Dakota, providing detailed information on a separate sheet is necessary. The renewal application must be signed by an owner, partner, or authorized officer of the company.

  5. Is it mandatory to answer all the questions on the SFN 12011 form?

    Yes, all questions on the SFN 12011 form must be answered with either "yes" or "no." For questions that require further details (for example, if you've completed a project exceeding $25,000 or if there are any legal issues related to your business), additional information must be attached on a separate sheet.

  6. Can I submit my SFN 12011 form and fee payment electronically?

    While the document mentions the availability of fax filing, this does not expedite the processing time. Faxed documents can include the SFN 12011 form alongside a Credit Card Payment Authorization. For those wishing to pay by credit card without faxing, relevant details can be filled out on the enclosed charge card authorization form. However, for full, up-to-date electronic submission options, it's recommended to contact the Secretary of State's office directly or visit their website.

Renewing your contractor's license in a timely manner ensures your business can continue operating without interruption. Should you have any more questions, the Secretary of State's office is ready to assist with additional information and guidance.

Common mistakes

Filling out the SFN 12011 form, also known as the Contractor License Renewal Application, might seem straightforward, but mistakes can easily occur. Here are nine common errors to look out for:

  1. Not updating personal or business information. If any details such as business address, telephone number, or e-mail address have changed, they need to be corrected on the form to ensure all future correspondences are received.
  2. Forgetting to provide a current Certificate of Liability Insurance. This certificate must be up-to-date and on file with the Secretary of State's office for the renewal to be processed.
  3. Incorrectly entering the North Dakota Sales and Use Tax Permit number or not having one. This is crucial for businesses operating within North Dakota, and the correct information must be supplied.
  4. Omitting the ND Workforce Safety & Insurance Account number for those who had employees during the reporting period. It's a requirement that demonstrates compliance with state law.
  5. Overlooking the question about completing work on projects exceeding $25,000. Detailed information about such projects is required, including the name and address of the company for which the work was completed.
  6. Failing to attach additional sheets when answering "Yes" to any of the questions in section 6. Details regarding denied, suspended, or revoked licenses, civil lawsuits involving fraud, bankruptcy proceedings, or any judgments against the applicant must be provided.
  7. Not signing the application form by the owner, partner, or authorized officer. The signature verifies that all information provided is true and complete and is essential for the submission.
  8. Missing the deadline for renewal and thereby not including the required penalty fee with the application. It is critical to submit the renewal application by the designated date to avoid additional charges.
  9. Inaccurately calculating or underpaying the renewal and penalty fees. Ensure the correct total is paid, based on the class of license being renewed, to prevent processing delays.

Here are some tips to avoid these mistakes:

  • Review all pre-printed information on the form for accuracy and make necessary updates.
  • Double-check that all required numbers (like Tax Permit and Insurance Account numbers) are correct and provided where necessary.
  • Ensure that questions requiring detailed explanations have attachments with the required information.
  • Verify that all sections of the form are filled out correctly and that the total amount paid covers both the renewal and any applicable penalty fees.

You can prevent delays and ensure a smooth renewal process by avoiding these common errors on the SFN 12011 form. Remember, timely and accurate completion of your application keeps your business in good standing and compliant with North Dakota state law.

Documents used along the form

When undertaking the important task of renewing a contractor license, as outlined by the SFN 12011 form, individuals and businesses are engaged in a multifaceted process that often requires gathering and submitting additional forms and documents beyond the initial application. These papers serve varied purposes, from affirming legal and financial standing to validating professional qualifications and operational integrity. Understanding each document's role is crucial for a seamless renewal process, ensuring compliance with all regulatory and legal obligations.

  • Certificate of Liability Insurance: Confirms the contractor has adequate insurance coverage, a crucial requirement for protecting both the business and its clients.
  • North Dakota Sales and Use Tax Permit: Shows that the contractor is registered to collect and remit sales tax to the state, which is necessary for conducting taxable sales or services.
  • Workforce Safety & Insurance Account Documentation: Verifies the contractor’s participation in the state’s worker compensation system, providing coverage for job-related injuries and diseases.
  • Proof of Business Structure: Whether a sole proprietorship, corporation, LLC, or partnership, documentation establishing the legal entity of the business is often required.
  • Financial Statements: Recent financial reports may be requested to assess the financial health and stability of the business.
  • Contract History Record: A comprehensive list of previous contracts and projects can be required to demonstrate the contractor’s experience and ability to manage and complete jobs successfully.
  • Professional References or Testimonials: Letters or documents providing feedback on past projects can support the contractor’s reliability and quality of work.
  • Criminal Background Check: Ensures that the contractor, and potentially its employees, meet the state’s legal standards for operating within the industry.
  • Performance Bond: A bond might be necessary for certain contracts to guarantee the project's completion in adherence to the agreed terms.
  • Licensing Exam Results: If applicable, results from any state-required exams for contractor licensing might need to be submitted as part of the renewal process.

Accompanying the SFN 12011 form with these pertinent documents not only complies with the legal requirements but also fortifies the trust and assurance clients place in a contractor. Each document plays a specific role in illustrating the contractor’s commitment to integrity, quality, and professionalism. Therefore, attention to detail in compiling and reviewing these forms and documents is essential for a smooth and successful license renewal process.

Similar forms

The SFN 12011 form, used for contractor license renewal applications in North Dakota, bears resemblance to a couple of other documents within the realm of professional licensing and project reporting. Though it serves a specific purpose, the structure and type of information it requires can be seen in other forms. Understanding these similarities may provide clearer insights into the administrative processes behind professional and project management responsibilities.

The Uniform Application for Contractor License: This form, found in many states across the US, shares similarities with the SFN 12011. Both forms require detailed company information, including business type, contact information, and specifics regarding licensing. Additionally, they ask for a declaration of any work performed within a specific threshold, usually related to project values. The uniform application, just like the SFN 12011, requires disclosures about any legal or financial issues the applicant or their business has faced, aiming to ensure integrity within the contracting industry.

Annual Business Renewal Forms: Many states require annual business renewal forms to be submitted by businesses operating within their jurisdictions. These forms, similar to the SFN 12011, collect updated information about the business entity, including changes in address, contact details, or management structure. Moreover, they might inquire about any significant legal or financial changes to the business, akin to the SFN 12011’s sections on lawsuits, bankruptcy, or liens. This process ensures that the state’s business registry remains up-to-date and that businesses comply with local laws and regulations.

Dos and Don'ts

When it comes to filling out the SFN 12011 form for your contractor license renewal in North Dakota, paying attention to detail is key. Below are some essential dos and don'ts:

Things You Should Do:

  • Review all pre-printed information carefully: Ensure the contact information, business type, and all other pre-printed details are current and accurate. If any changes are necessary, make them directly on the form and initial your edits.
  • Check the expiration date of your Certificate of Liability Insurance: Your renewal application cannot be processed without a current certificate on file. If the certificate has expired, submit an updated version with your application.
  • Answer all questions truthfully: Whether it's about past work in North Dakota exceeding $25,000 or any legal issues involving your business, honesty is crucial for a valid application.
  • Sign the application: Make sure the owner, partner, or an authorized officer signs the form. A sole proprietorship requires the signature of the owner, not the spouse, unless authorized.
  • Include the correct renewal fee: Verify the class of your license and ensure you account for any additional penalty fees if applicable. Payment is accepted via check or credit card.

Things You Shouldn't Do:

  • Miss the renewal deadline: Submitting your application by March 3 ensures continuous licensure. Late submissions incur penalty fees and risk license expiration.
  • Use outdated forms: Always download the latest version of the SFN 12011 form to ensure you're completing all required sections according to the most current regulations.
  • Ignore additional licensure requirements: Depending on the nature of your work, additional permits or licenses (like those from the State Electrical Board or State Plumbing Board) may be needed. Ensure compliance with all applicable requirements.
  • Forget to include additional details for “Yes” responses: If you answer "Yes" to any questions regarding legal issues or past projects, provide all requested details on a separate sheet and attach it to your application.

Attentiveness and accuracy when completing the SFN 12011 form not only keeps your business compliant with North Dakota laws but also streamlines the renewal process, saving you time and potential headaches.

Misconceptions

When it comes to renewing a contractor license, the SFN 12011 form is an essential document that contractors in North Dakota must complete. However, there are several misconceptions about this form and the renewal process that can confuse those who are attempting to navigate through their license renewal. Understanding these misconceptions is key to ensuring that the renewal process is carried out smoothly and correctly.

  • Misconception #1: The renewal process is complicated and requires legal assistance. While it's important to carefully complete the SFN 12011 form, the instructions are straightforward. Most contractors can fill out and submit this form without needing to hire legal help, as long as they follow the provided instructions closely.
  • Misconception #2: You need to re-submit all previous documentation. Some contractors mistakenly believe they have to resubmit all documents previously provided to the Secretary of State’s office. In reality, you only need to ensure that your current certificate of liability insurance does not expire before the date of the renewal application.
  • Misconception #3: The form can be submitted anytime before the next job starts. This is incorrect. The form has a specific due date, March 3, 2008, for the renewal cycle in question. Submitting the form late will result in the need to pay additional penalty fees and, if significantly delayed, might require applying for a new license instead of renewing the existing one.
  • Misconception #4: All sections are mandatory for all applicants. The necessity to fill out certain portions of the form can vary. For example, question #5 regarding work exceeding $25,000 applies only to those who have undertaken such projects within the calendar year. Always read instructions carefully to understand which sections apply to you.
  • Misconception #5: Electronic submissions are processed faster. Although the form can be faxed for convenience, it's noted that faxing the document and payment authorization does not expedite processing within the Secretary of State's office.
  • Misconception #6: The application fee covers all necessary licensing. The renewal fee is specific to the SFN 12011 form and the contractor's license renewal. Contractors might need to obtain other licenses or permits, which are not covered by this fee and require separate applications and payments.
  • Misconception #7: If the pre-printed information is incorrect, a new form must be requested. In fact, applicants can simply cross out incorrect information, write in the correct details, and initial the changes themselves.
  • Misconception #8: Your spouse can sign the renewal application if you are the sole proprietor. This is false, as the form clearly states that if the business structure is a sole proprietorship, only the owner is authorized to sign. This mistake could invalidate your submission.

By understanding these misconceptions and ensuring the accurate completion of the SFN 12011 form, contractors in North Dakota can avoid unnecessary complications and maintain their licensure with greater ease and efficiency.

Key takeaways

Filling out and using the SFN 12011 form, the Contractor License Renewal Application, is a pivotal step for contractors wanting to continue their license to operate within the specified jurisdiction. Here are some key takeaways to understand and consider when interacting with this form:

  • The deadline for renewal applications is set and strict—March 3, 2008. If the form is not submitted by this date, the current license will lapse, potentially hindering the ability to work legally.
  • A penalty fee is applicable for any forms filed after the deadline, emphasizing the importance of timely submissions to avoid additional costs.
  • The form must be filled out with current and accurate information, including updates on the business telephone number, federal ID number, and type of business, ensuring the Secretary of State has the most recent details.
  • Proof of an active Certificate of Liability Insurance must be provided if the current certificate expires before the date of the renewal application, indicating the necessity of maintaining insurance coverage.
  • Questions regarding the presence of a North Dakota Sales and Use Tax permit and Workforce Safety & Insurance account number highlight the need for proper registration and compliance with state regulations.
  • Disclosure about any significant projects completed in the preceding calendar year, specifically those exceeding $25,000, is required, illustrating the need for detailed record-keeping and transparency.
  • Applicants must disclose any legal issues, including denied, suspended, or revoked licenses; involvement in lawsuits alleging fraud; bankruptcy proceedings; or liens and judgments against the business, underscoring the demand for legal integrity and honesty.
  • The application process serves as a reminder that all payroll taxes and premiums for workforce safety & insurance and unemployment insurance must be current as of the day of application, reinforcing the necessity of financial responsibility.
  • Finally, a range of fee structures based on the class of license being renewed is outlined, specifying the financial commitment required for renewal and highlighting the penalties for late applications.

This form not only serves as a method for maintaining licensure but also as a comprehensive check to ensure that contractors operating within the jurisdiction are compliant with the law, financially responsible, and accurately represented with up-to-date information.

Please rate Printable Sfn 12011 Template Form
4.67
Exceptional
219 Votes