Contractor License Renewal Application

🔄 Alliance Integration Features

Automated System Benefits:

90-day advance renewal reminders via email and SMS
Automatic CE credit tracking and verification
Personalized course recommendations based on license type
Digital renewal processing and confirmation

1. CONTRACTOR INFORMATION

License Number:

_________________________

Current Expiration Date:

_________________________

Legal Name (Individual/Business):

_________________________________________________

DBA/Trade Name:

_________________________

Federal Tax ID/SSN:

_________________________

Business Address:

_________________________________________________

City:

_________________________

State:

_________

ZIP Code:

_____________

Primary Phone:

_________________________

Email Address:

_________________________

2. LICENSE RENEWAL DETAILS

Annual Renewal (1 Year)

Biennial Renewal (2 Years)

License Classification:

_________________________

License Type:

_________________________

Specialty Endorsements (Check all that apply):

Residential Construction

Commercial Construction

Electrical

Plumbing

HVAC

Roofing

Other: _________________________

3. CONTINUING EDUCATION REQUIREMENTS

Course Title	Provider	Completion Date	Hours	Certificate #
_________________________	_________________	_____________	_______	_________________
_________________________	_________________	_____________	_______	_________________
_________________________	_________________	_____________	_______	_________________
_________________________	_________________	_____________	_______	_________________
TOTAL CONTINUING EDUCATION HOURS:			_______

Required Hours for License Type:

_________

Hours Completed:

_________

📚 Alliance CE Tracking System

System automatically verifies: Course completion status, approved provider validation, hour calculations, and compliance requirements. Members receive personalized recommendations for remaining CE needs.

4. REQUIRED DOCUMENTATION CHECKLIST

Submit the following documents with your renewal application:

Completed renewal application form

Continuing education certificates (originals or certified copies)

Current certificate of insurance

Workers' compensation certificate

Current business license

Bond documentation (if required)

Renewal fee payment

Updated emergency contact information

5. FEE STRUCTURE & PAYMENT

Fee Type	Annual	Biennial	Amount Due
Base Renewal Fee	$250.00	$450.00	$_______
Late Renewal Penalty (if applicable)	$75.00	$125.00	$_______
Specialty Endorsement (per endorsement)	$50.00	$85.00	$_______
Alliance Processing Fee	$25.00	$40.00	$_______
TOTAL AMOUNT DUE:			$_______

Payment Method:

Check/Money Order (Payable to: Alliance for Contractors)

Credit Card (Visa/MasterCard/American Express)

Electronic Transfer

Alliance Member Auto-Pay

6. APPLICANT CERTIFICATION

I hereby certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false statements or misrepresentations may result in the denial of my license renewal application or disciplinary action against my license.

I acknowledge that I have met all continuing education requirements for my license classification and have submitted all required documentation. I agree to comply with all applicable laws, regulations, and professional standards governing contractor licensing.

I certify that I have read and understand the terms and conditions of license renewal

I authorize Alliance for Contractors to process this renewal application

I consent to electronic communications regarding my license status

Applicant Signature:

Date:

_____________

Printed Name:

_________________________________

Title:

_________________________________

🚀 Submit Your Application

Alliance Members can submit applications through:

Online portal at www.alliancecontractors.org/renewal
Email to [email protected]
Mail to: Alliance for Contractors, License Renewal Department, 1234 Industry Blvd, Professional City, ST 12345
Fax to: (555) 123-4567

Processing Time: 5-7 business days for complete applications | Express processing available for Alliance Premium members

ALLIANCE FOR CONTRACTORS