Skip to Content


 

Contractor Licensing Application

Please update any information as necessary.

CONTRACTOR INFORMATION

required
required
required
required
required
required 1

Contractor Business Phone Numbers

Type Number Ext

CONTACT INFORMATION

required
required
required
required

Contact Phone Numbers

Type Number Ext

1 The Identity Protection Act, 5 ILCS 179/1 et seq., requires each local and State government agency to draft, approve, and implement an IdentityProtection Policy that includes a statement of the purpose or purposes for which the agency is collecting and using an individual’s Social Security Number (SSN). This statement of purpose is being provided to you because you have been asked by the OSFM to provide your SSN or because you requested a copy of this statement. You are being asked for your SSN for one or more of the following reasons: Internal verification and/or potential collection of fees, penalties or fines. We will only use your SSN for the purpose for which it was collected. We will not: Sell, lease, loan, trade, or rent your SSN to a third party for any purpose; Publicly post or display your SSN; Print your SSN on any card required for you to access our services; Require you to transmit your SSN over the Internet, unless the connection is secure or your SSN is encrypted; or Print your SSN on any materials that are mailed to you, unless state or federal law requires that number to be on documents mailed to you, or unless we are confirming the accuracy of your SSN.

Legend
required Required Field - will Edit Existing - will Delete Existing - will Remove Existing Add - will Add New