Licence Form - Contractor Qualifier Connect

Secure A Qualifier

(888) 306-3908

(305) 614-9673

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(305) 614-9673

(888) 306-3908

Home
About Us
Services
- License Processing
Qualifier
- Qualifier Network
Blog
Contact

Business Information

Legal Business Name (Exact as Registered ) *

Entity Type *

LLC

Corporation

Partnership

Sole Proprietor

State of Registration *

Select an State

Business Status *

Active

Not Yet Formed

Inactive

Business Address *

EIN Available? *

Yes

No

License Objective

What are you applying for? *

CILB 6-A (New Company – Never Licensed)

CILB 9 (Adding Company to Existing Qualifier)

License Category Needed

CGC – General Contractor

CBC – Building Contractor

CCC – Roofing Contractor

State Applying In *

Florida

California

Georgia

North Carolina

Texas

Other...

Owner / FRO Information

Full Legal Name *

Date of Birth *

SSN *

Email Address *

Mobile Phone *

Bankruptcy in Last 7 Years?

Yes

No

Any Criminal History?

Yes

No

Qualifier Information (If Available)

Do You Already Have a Qualifier? *

Yes

No

Qualifier Details

Qualifier Name

License Number

License Status

Select an Option

Active
Inactive
Suspended
Expired

Ownership % in Company

Position in Company

Select an Option

Owner
Officer
Manager
Employee
Partner

Credit & Experience

Estimated Credit Score Range *

750+

700–749

650–699

Below 650

Years of Construction Experience *

4+ Years

2–4 Years

Less Than 2 Years

Has Credit Been Pulled for Licensing Before? *

Yes

No

Document Upload (Optional)

File Upload

No Choosen File

(Max 10 MB)

Upload if available:* EIN Letter * Articles of Incorporation * ID * Resume * Credit Report

Final Confirmation

I confirm that the information provided is accurate to the best of my knowledge.

License Processing

Not ready to fill out the form?
Call us (305) 614-9673
Toll Free (888) 306-3908

800 Brickell Ave.

4th Floor

Miami, FL 33131

We support Businesses of all sizes-from single-owner enterprises to National Corporations-by securing licensed qualifiers to ensure regulatory compliance in all United States

Secure A Qualifier

“Contractor Qualifier Connect is dedicated to connecting construction companies with qualified qualifiers to meet their licensing needs.”

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FL
CA
NC
GA
TX

800 Brickell Ave.

4th Floor

Miami, FL 33131

Toll Free: (888) 306-3908
Local: (305) 614-9673
Email: info@contractorqualifierconnect.com

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Disclaimer: Contractor Qualifier Connect is not a law firm or licensing board. We provide qualifier placement services and application support. “Contractor Qualifier Connect is an independent service and is not affiliated with any state licensing board or other private company.”