Contractors Online Permit Registration Form

Please enter your company name.

Please enter the contractor's name.

Please enter your address.

Please enter your city.

Please enter your state.

Please enter your zip code.

Please enter your cell phone number, separated by dashes.

Please enter your email address.

Please enter a 4 number PIN to use with your account.

Please enter your license number.

Invalid Input

Please upload your certificate of insurance.

Please upload a copy of your contractor's license.

Please upload a workers comp affidavit. If you need a blank form, it is listed below.

Download a blank copy of the workman's comp affidavit (PDF)