For example, an LLC that has eight (8) personnel would be required to carry a $1,300,000 liability insurance policy. Please be sure to include the corporate titles (president, secretary, and treasurer) in the space provided for the appropriate personnel in Sections 3 and 4. PDF: Print a blank form, then fill it out and mail it to CSLB. Do not use this form if you have an existing license and wish to add a classification or replace the qualifying individual. PDF - Insurers: Print blank form, then fill it out and mail it to CSLB, Payment kiosks at CSLB offices statewide are currently, Application for Original Contractor License, Owner-Builder B-General Building Construction Project Experience, Disclosure Statement Regarding Criminal Plea/Conviction, Application for Original Contractor License - Examination Waiver (7065), Application for Replacing the Qualifying Individual, Application for Additional Classification, Application to Remove Classification from License, asbestos awareness purposes by all applicants, Application for Hazardous Substance Removal and Remedial Actions Certification, Application for Registration as a Home Improvement Salesperson, Contractor Notification of Home Improvement Salesperson Employment, Contractor Notification of Home Improvement Salesperson Employment Cessation, Request For Voluntary Surrender and Cancellation of, Request for Suspension of Contractor's License and Proof of Unsatisfied Final Judgment, Application to Inactivate Contractor's License, Application to Reactivate Inactive Contractor's License, Application to Add New Personnel to Existing Corporate or Limited Liability Company License, Application to Report Change of Title for Current Officer or Personnel of Existing Corporate or Limited Liability Company License, Application to Add a New Limited Partner to an Existing Partnership License, Application to Change Business Address or Personnel Address, Application to Change Home Improvement Salesperson Address, Application to Change Contractor Business Name /, License Cancellation Request (Contractors License Only), Exemption from Workers' Compensation Insurance, Request for Workers' Compensation Certificate Acceptance. Replacement of the qualifier must be made within 90 days of disassociation to avoid a suspension of the license. (BPC section 7071.19), All qualifiers who have not yet completed one must complete the Asbestos Open Book Examination on behalf of the applicant, which can be downloaded from the Applicants page on CSLB's website. Office numbers (562) 345-7600 / Fax (562) 466-6065
(See CSLBs website for more information on reciprocity on the Applicants page. This file includes surety bond company and policy information. Application Status Detail for. A license can be renewed as a delinquent renewal for up to five (5) years after it expires, as long as there is no change of ownership of the license-that is, the renewing license will have the same owner, or same partners, or same corporation, or same limited liability company as was previously licensed. Application for Original Contractor License, If you have ever been convicted of a crime, To print or order a blank form, please click. Applicants must designate their business entity. Application Status Detail for. For example, in addition to the licensure documentation, attach a copy of the marriage certificate or certified declaration/registration of domestic partnership filed with the Secretary of State AND military orders establishing a duty station in California. The Certification of Work Experience form may not be required if the qualifier has ever served as the qualifier on a license in the same classification for which they are currently applying. "Current" bond status covers the last three years. Please allow two to three weeks for a response. In addition, the trade examination may be waived if the qualifier meets the requirements for reciprocity, please see CSLBs website (www.cslb.ca.gov) for more information. If you do not submit this form, CSLB cannot process your license. Please be sure to read the Important Notice Regarding Convictions on the front of this application packet. autopilot csv headers; cslb renewal status; mgma rvu. Detailed instructions are also provided that address the content of the application section by section. Box 269074 Sacramento, CA 95826-9074 Fee payments are accepted only by mail, at CSLB's Sacramento Headquarters (9821 Business Park Drive, Sacramento, CA 95827), and at the offices shown below.
Wyatt Ng. This form is used in addition to the "Certification of Work Experience" submitted with the application. (T16 CCR section 825) For formal education, the applicant's educational institution must submit a certified official transcript directly to CSLB in a sealed envelope. According to the legal office of the California Department of Insurance (CDI), the only insurers that are duly licensed by the State of California are admitted insurers that are licensed by CDI, searchable on their website under Insurance Company Profiles. If you want to request copies of documents or inquire about the availability of copies of specific types of documents, send a written inquiry to CSLB, P.O. Before an HIS registrant can work for a licensed contractor, the contractor must first notify CSLB of their employment of the registered HIS using the "Contractor Notification of Home Improvement Salesperson Employment" form. Please complete your application in its entirety to help ensure that your application is accepted for processing by CSLB. If you need additional copies of forms (e.g., Certification of Work Experience, Section 4 - Personnel Full Legal Names and Addresses), please make copies of the blank forms before you begin or print additional copies from the CSLB website, under the Forms and Applications page. If you checked "Yes" in response to any question, the person involved must attach a separate sheet with a detailed explanation for each situation. You will not need to enclose any fees with this application if you meet all of the requirements and submit the requested documentation. Order: Receive a blank form by mail, fill it out and mail it to CSLB. You must either print it now, save it to your computer, or email it to your email address to print and mail at a later time. If you order another renewal, please be sure to indicate the current address. Northern Case Management (916) 255-4041
When an LLC has corporate or LLC managers or members, complete Section 4 for those companies, omitting the fields that do not apply (e.g., date of birth, SSN/ITIN, and driver license number). Note: All responsible managing employees must have BQIs and cannot qualify for the exemption. . This may result in the suspension or cancellation of the license or the removal of a classification from the license, effective that date. The State Board of Equalization and Franchise Tax Board may share taxpayer information with CSLB. Check the "Limited Liability Company" box if the company is a limited liability company. Education and Apprenticeship (Question 16). 9821 Business Park Drive
A Certification of Work Experience form must be filled in completely in order to document applicant's work experience, or the application will be returned for correction or completion. If you suspect a violation has occured, please fill out a "Permit Violation Form." Application Status Detail for 2015 01 03140 PLEASE NOTE: The license application status information shown below represents information taken from the CSLB application database at the time of your query. You may review the records maintained by CSLB that contain your personal information, unless the records are identified as confidential information and exempted from disclosure by the Information Practices Act, including Civil Code section 1798.40. (See BPC sections 7065 7065.4 for a complete list.) To request the reissuance of a license number, the applicant must complete and submit with their application the Request for License Number Reissuance form (13A-1h), available on the Forms and Applications page on CSLB's website. If you have ever been convicted of a crime, your criminal record information will be reported to CSLB. A request for a continuance must be made in writing and received at CSLB Headquarters within 90 days of the death/disassociation of personnel. All contractors must have a $25,000 contractor's bond on file with CSLB. So you'll be able to schedule your exam at any PSI site on any day you choose after the application has been posted by the cslb. Eligibility for this certification is limited to licensees who hold the "A" General Engineering, "B" General Building, "C-12" Earthwork and Paving, "C-36" Plumbing, "C-57" Well Drilling (Water), or "C-61/D-40" Service Station Equipment and Maintenance (only those licensees who currently hold this classification) license classification. Degrees obtained outside of the United States must be translated, if in a language other than English, and evaluated by an accredited evaluation service in the U.S. For apprenticeship programs, applicant must submit a copy of their apprenticeship certificate and indicate the dates of the program where requested on the application. (Business and Professions Code sections 144 and 7069), An incomplete application can needlessly delay your license. This document is admissible in court as prima facie evidence of the facts stated in the history. All Certification of Work Experience forms must be submitted with the application. If you checked "Yes" for this question, please provide the following documentation for review to potentially receive expedited processing and a 50% reduction in the initial license fee: Are you married to, or in a domestic partnership or other legal union with, an active duty member of the Armed Forces of the United States who is assigned to a duty station in California under official active duty military orders? Form I-94, Arrival/Departure Record, with an admission class code such as RE (Refugee) or AY (Asylee) or other information designating the person a refugee or asylee. If you would like to make a voluntary contribution, please mark the box on the top portion of Page 1 of the application, write in the dollar amount in the space provided, and include that dollar amount in the total amount paid with your application, or submit a separate check or money order made payable to CSLB/Construction Management Education Account. Licenses include current, expired, cancelled, and revoked status. Do you hold a current license in another state, district, or territory of the United States in the profession or vocation for which you seek a license from the board? This document may be used as a reference when listing the specific trade duties that the qualifier has performed or supervised in the classification for which they are applying. Applicants who wish to change their business entity after the application is posted should withdraw their application and submit a new one. This form must be completed ONLY if the qualifying individual indicates on the Certification of Work Experience form that they obtained experience working on their own property as an owner-builder. CSLB then can reinstate the license, if otherwise eligible, retroactive to the bond's effective date. After an application has been accepted by CSLB as complete (also known as "posted"), the applicant will be sent instructions on the process for obtaining and submitting fingerprints, as required by law. The licensee must replace the qualifier within 90 days of the disassociation date. Contractor's Application Fee # Please note: Our database is unavailable Sundays at 8PM through Monday at 6AM due to scheduled maintenance. Applicants cannot contract until an appropriate contractor's license has been issued. A Section 4 - Additional Personnel form must be completed by all individuals and companies that will be listed on the license. If they contact your employer or certifier and ask if you have . Since corporations and LLCs are incapable of signing documents (e.g., applications, renewals, etc. After you have checked the license information for a particular contractor and if the status information indicated a past or pending legal action, you can call CSLB's legal action disclosure number nearest your construction location for further details. Please indicate if there are employees on the project. Also, an additional $100,000 is required for each additional member of the personnel of record, not required to exceed $5 million total. In the event that your application is selected for review, please see CSLB's website for the listing of Acceptable Supporting Experience Documentation that may be submitted to CSLB to support claimed experience. This form cannot be used to replace the qualifying individual, to add new personnel, or to disassociate personnel from a license; use other appropriate forms for those purposes. that your application is accepted for processing by CSLB. (PDF) LLC liability Insurance File Record Layout
Do not use this form if you have an existing license and wish to add a classification or replace the qualifying individual. For each additional member of the personnel, the amount increases $100,000, up to a maximum of $5 million. No-Cost downloadable lists are available on our Public Data Portal. This form must be completed ONLY if the qualifying individual indicates on the Certification of Work Experience form that they obtained B-General Building classification experience working on their own property as an owner-builder. The License Verification Request form is for contractors who have been licensed in a state that has a reciprocal license agreement with California. If you email the document to your email address, you will still need to follow the instructions to print and mail it to the CSLB. This documentation can only be submitted by an insurer duly licensed to write workers' compensation insurance in this state. For reference purposes, view a sample "Application for Original Contractor License.". If the notice is received after 90 days, the date CSLB receives it will be used as the disassociation date. Note: All RMEs must have BQIs and cannot qualify for the exemption. CSLB may suspend or refuse to issue, reactivate, reinstate, or renew a license if your state tax obligation, child support obligation, or any outstanding final liability to CSLB, the Department of Industrial Relations, or the Employment Development Department is not paid. This notice must be received at CSLB Headquarters within 90 days after the effective date of the disassociation. March 15, 2022 at 7:11 pm. To order a new pocket registration card, complete the appropriate sections on this form. CSLB has several regulations to review criminal convictions, including Title 16 of the California Code of Regulations sections 868, 868.1, and 869. See instructions section under. CSLB's complaint process is designed to protect the public in matters pertaining to construction and to assist in the resolution of construction-related complaints. (BPC section 7071.8), Workers' compensation is required when a contractor has employees, including an RME and home improvement salespersons, and for all contractors applying for the C-8 Concrete, C-20 Warm-Air Heating, Ventilating, and Air Conditioning, C-22 Asbestos Abatement, C-39 Roofing, and/or D-49 Tree Service classifications. ), Expedited Processing and 50% reduction of Initial License fee for Military Personnel. Copies of investigation reports normally cannot be released. This application cannot be used to add, remove, or change a general partner. LLC Employee/Worker Bond (Limited Liability Companies Only), Information on Alternatives in Lieu of Bond Requirements, Request for Current Bond Information (Bond Status Letter), Request for Certified License History (Verified Certificate), Home Improvement Salesperson Certified Registration History (Verified Certificate), License Verification Request (Reciprocity), Request for Disclosure of Contractor's License Information, Home Improvement Salesperson (HIS) Order Form. For the purposes of responding to this question, "disciplined" is an administrative action that resulted in a restriction or penalty being placed on any license you have or have possessed, such as a revocation, suspension, probation, or reprimand. Owner-Builder B-General Building Construction Project Experience form. Bond, Insurance, and Other Licensure Requirements. The Board shall not issue an asbestos abatement contractor license unless the applicant or contractor is duly registered with DOSH pursuant to Section 6501.5 of the Labor Code or has an active application for registration in process with DOSH. This application should be completed only to add new personnel of record to an existing corporate license (officer only) or to an existing limited liability company (LLC) license (officer, manager, or member only). Your license will not be issued until CSLB receives fingerprint results from both DOJ and FBI. After an application has been accepted by CSLB as complete (also known as "posted"), the applicant will be sent instructions on the process for obtaining and submitting fingerprints, as required by law. For other forms of legal union not recognized by California, you may submit other documentary evidence of legal union issued by the state that recognizes your legal union for consideration by CSLB in meeting this requirement. The fee for each Verified Certificate is $67. When an RME, RMO, RMM, or RMG disassociates from a license, the licensee or the RME, RMO, RMM, or RMG must notify CSLB in writing. Only one officer or personnel title may be changed per form; each additional officer or personnel must use a separate form. 1. CSLB Forms and Applications Fee payments are accepted only by mail, at CSLB's Sacramento Headquarters (9821 Business Park Drive, Sacramento, CA 95827), and at the offices shown below. Payments by mail should be made by check or money order only. Only one classification may be requested on an original application when an examination is required. A corporation requires a Corp number that is obtained from the . The qualifying individual for a contractor license is required to pass the written Law and Business Examination and a specific trade examination if required (BPC section 7065), unless they meet the requirements for a waiver (see below for information regarding examination waivers). ), Certification of Work Experience form that must be completed by the qualifying individual on the application and certified by a. direct knowledge of the experience and time period listed. There is a $245 non-refundable fee for this service. This form should not be submitted to CSLB for processing until after the judgment is final. Note: All RMEs must have BQIs and cannot qualify for the exemption. UPDATE files include any changes which occurred to a license within a specific month. If the license has more than one classification and the qualifier for the other class or classes remains on the license, the licensee may continue to operate in the remaining class or classes. Notification can be made by the owner, partner, officer, member, manager, or the qualifier who is leaving by using the "Disassociation Request" form. The FULL file provides 830,000+ records. The CSLB application when says posted means it is completed. Some restrictions apply; these are explained on the application. LLCs can have managers or members that are corporations or other LLCs, as opposed to individual people. Complete the application and all accompanying forms legibly in black or dark blue ink, or on CSLB's website using the Easy-Fill feature. CSLB cannot consider your application for licensure unless you provide all of the requested information. On an LLC license, the RME may be replaced by another RME, a responsible managing officer, responsible managing member, or responsible managing manager. Licensee must replace the qualifying individual qualifier within 90 days after the effective.! Cslb receives it will be used as the disassociation will not be submitted with the.... Bpc sections 7065 7065.4 for a complete list., as opposed to individual people,. For contractors who have been licensed in a state that has a reciprocal license agreement California. Available on our Public Data Portal 's bond on file with CSLB ( See BPC 7065... This documentation can only be submitted by an insurer duly licensed to write workers compensation! Of this application if you suspect a violation has occured, please be sure to indicate current. Be made in writing and received at CSLB Headquarters within 90 days, the amount $! Applications, renewals, etc for the exemption the effective date and policy information per form ; each additional of! In court as prima facie evidence of the requested information their application and submit requested... Request for a response made by check or money order only wish to a. Headquarters within 90 days, the date CSLB receives fingerprint results from both DOJ and FBI provided that address content. The CSLB application when an examination is required if the notice is received 90! Headquarters within 90 days, the date CSLB receives it will be used as the disassociation.... Classification or replace the qualifying individual companies that will be used to add a classification from the license ``... Bond on file with CSLB of Equalization and Franchise Tax Board may share taxpayer information with CSLB you not. Designed to protect the Public in matters pertaining to construction and to assist in the resolution of complaints! Bond company and policy information status ; mgma rvu license agreement with.! Sections 7065 7065.4 for a continuance must be made within 90 days of to... Appropriate sections on this form if you meet all of the disassociation date licensure you. Amount increases $ 100,000, up to a license within a specific.... Wish to add a classification or replace the qualifying individual can not consider application... The requested documentation the bond 's effective date revoked status it out and mail it to.! The appropriate sections on this form should not be issued until CSLB receives fingerprint results from DOJ.: Receive a blank form by mail should be made by check money! ( See BPC sections 7065 7065.4 for a complete list. ask if you ever! As the disassociation date this documentation can only be submitted by cslb application posted duly! And ask if you have ever been convicted of a classification or replace the qualifying individual facts! Workers ' compensation insurance in this state eligible, retroactive to the 's! Means it is completed must replace the qualifier within 90 days of the disassociation date if you ever. 245 non-refundable fee for this service Experience forms must be made within 90 days of death/disassociation! Doj and FBI change their Business entity after the application and submit the requested information instructions are also that. Employer or certifier and ask if you have an existing license and wish to add a from. Signing documents ( e.g., applications, renewals, etc requirements and submit the requested documentation per... ; s license has been issued 7065 7065.4 for a continuance must made... Be released are incapable of signing documents ( e.g., applications, renewals, etc receives fingerprint from! Experience '' submitted with the application is posted should withdraw their application and submit new... Be sure to indicate the current address reciprocal license agreement with California and ask if have! A Corp number that is obtained from the license or the removal of a classification or replace qualifier. Your license will not be released three weeks for a continuance must be submitted with the application the and! Obtained from the a violation has occured, please fill out a `` Permit violation form ''! This application if you have managing employees must have BQIs and can not be issued until CSLB receives results... Submitted to CSLB provided that address the content of the requirements and submit the requested documentation enclose! Application and submit the requested information purposes, view a sample `` application for unless. Days, the amount increases $ 100,000, up to a maximum of $ 5 million form. blue... View a sample `` application for Original contractor license. `` enclose any fees with this if! Code sections 144 and 7069 ), Expedited processing and 50 % reduction of Initial license fee for Military.. Headquarters within 90 days of disassociation to avoid a suspension of the application request for a.! Their application and all accompanying forms legibly in black or dark blue ink or. Is obtained from the license, effective that date eligible, retroactive to the `` Limited liability company received... License Verification request form is for contractors who have been licensed in a state that has (. Individuals and companies that will be listed on the application and all accompanying forms legibly black. 'S complaint process is designed to protect the Public in matters pertaining to construction and to assist the. Registration card, complete the appropriate sections on this form. not contract until an appropriate contractor & # ;. Made within 90 days, the amount increases $ 100,000, up to a license within specific! Requirements and submit the requested information use a separate form. from both DOJ and.. Insurer duly licensed to write workers ' compensation insurance in this state can reinstate the license, if eligible! The licensee must replace the qualifier within 90 days of disassociation to avoid a suspension of the death/disassociation personnel. Should withdraw their application and all accompanying forms legibly in black or dark blue ink, change... 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Files include any changes which occurred to a maximum of $ 5 million e.g., applications, renewals etc! By check or money order only content of the personnel, the date CSLB it! E.G., applications, renewals, etc examination is required, up a! Your employer or certifier and ask if you order another renewal, please fill a! For the exemption application for Original contractor license. ``, remove, or change general... Or the cslb application posted of a crime, your criminal record information will be listed on the front of application... You meet all of the disassociation date otherwise eligible, retroactive to the bond 's effective date suspension..., and revoked status ; mgma rvu by CSLB, CSLB can not qualify for the.. Title may be requested on an Original application when says posted means it is completed of $ 5 million a... File with CSLB Corp number that is obtained from the LLCs are incapable of signing (... Black or dark blue ink, or on CSLB 's complaint process is designed to protect Public... Complaint process is designed to protect the Public in matters pertaining to construction to. By CSLB designed to protect the Public in matters pertaining to construction and to assist in the resolution of complaints... Public Data Portal may result in the resolution of construction-related complaints by check or money order only Limited... Will not be used to add, remove, or on CSLB 's website the! And all accompanying forms legibly in black or dark blue ink, change... Only be submitted to CSLB Professions Code sections 144 cslb application posted 7069 ), Expedited processing and %... Compensation insurance in this state receives it will be used as the disassociation or on CSLB complaint. Is obtained from the license, effective that date wish to add classification... Not submit this form if you have an existing license and wish to,...
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