Email Central SWIFT, Southern SWIFT All Certification of Work Experience forms must be submitted with the application. (Order) - Only authorized surety companies may order the approved Contractor's Bond form. This work experience and training must be reported on a Certification of Work Experience form and must be supported by acceptable documentation, including evidence of current military duty (copy of applicants military orders) or previous military service (copy of applicants DD 214 Certificate of Release or Discharge from Active Duty). Review the Record Layout to ensure this is the data you require. Complete the application and all accompanying forms legibly in black or dark blue ink, or on CSLB's website using the Easy-Fill feature. Fax: (916) 369-7265. Please be sure to read the Important Notice Regarding Convictions on the front of this application packet. To identify the non-registered subject, you will need to provide the salespersons full name, address, business name associated with (if applicable), and license number, if available. This document must be completed by all applicants for licensure who have any criminal plea(s) and/or conviction(s). This application will result in a new license. CSLB has several regulations to review criminal convictions, including Title 16 of the California Code of Regulations sections 868, 868.1, and 869. Replacement of the qualifier must be made within 90 days of disassociation to avoid a suspension of the license. You can add any classification to an existing license for which you have qualifying experience and for which you pass the applicable examination. You hold a C-22 Asbestos classification - all contractors with a C-22 Asbestos classification are required by B&P Section 7125 to have a Certificate of Workers' Compensation Insurance or a Certificate of Self-Insurance on file with CSLB. 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. There is a $0.10 per page charge for copies. Application status may not reflect pending updates or . In compliance with The Americans with Disabilities Act (ADA), CSLB provides applicants with ADA-compliant accommodations for taking the examinations. Check the "Partnership" box if the business is a partnership. Is 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. Carefully read the General Information and Instructions that immediately precede the application package and follow the specific instructions that are contained throughout the application to help ensure that your application is complete and accurate. If more than four (4) personnel must be reported, please make a copy of the blank form or complete an additional Easy-Fill form. Do not use this form if you have an existing license and wish to add a classification or replace the qualifying individual. 9821 Business Park Drive Questions 10 - 12 on the application pertain to all individuals listed on this application (qualifying individual and all personnel listed in Section 4), and Questions 13 - 15 on the application pertain to the qualifying individual only. PDF: Print a blank form, then fill it out and mail it to CSLB. CSLB uses this information to identify and evaluate applicants for licensure, issue and renew licenses, and enforce licensing standards set by law and regulation. All questions in this section must be answered. This document is admissible in court as prima facie evidence of the facts stated in the history. Partnerships must provide their federal employer identification number (FEIN), which is available from the U.S. Internal Revenue Service (IRS). 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. CSLB may grant credit toward licensure requirements for applicable work experience and training received while the applicant was an active duty member of the Armed Forces of the United States performing duties in the classification for which they are applying. Granted asylum by the Secretary of Homeland Security or the United States Attorney General pursuant to section 1158 of title 8 of the United States Code; 3. Savings Bank now meets requirements. This will contain the same document as in the pdf view and print link above. Only one officer or personnel title may be changed per form; each additional officer or personnel must use a separate form. A Verified Certificate is a certified license history covering a specific time period. 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. A journeyman is defined as an experienced worker who is fully qualified (as opposed to a trainee) and is able to perform the trade without supervision, or one who has completed an apprenticeship program. However, copies of legal actions, such as the formal case accusation and decision, or citations may be provided. ), By law, CSLB must randomly review three percent (3%) of applications, including the experience claimed on Certifications of Work Experience forms that must be verifiable through payroll records or similar documents. (A "judgment creditor" is the person or persons on behalf of whom a judgment ordering an individual or business entity to pay a sum of money has been entered.). He recently passed away and he is the owner and qualifying personnel for . Allow about six-to-eight weeks for a response. The lead form should be complete and provide detailed information regarding the unlicensed activity. The more information and evidence (including photos), the better. An order from a court of competent jurisdiction or other documentary evidence that provides reasonable assurance that the applicant qualifies for expedited licensure. The State Board of Equalization and Franchise Tax Board may share taxpayer information with CSLB. A $100 fee is required each time you reschedule an exam. You must be an owner, partner, officer, member or manager to file an Exemption. PDF: Print a blank form, then fill it out and mail it to CSLB. Once you have completed and signed the form, you can return it by mail or facsimile 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. Along with your application, please submit a Certificate of Completion of Training from a qualified trainer approved by the U.S. Department of Housing and Urban Development (HUD). This application should only be completed to add a new limited partner to an existing limited partnership license. $ 99.95. The holder of an inactive license is not entitled to practice as a contractor or submit a bid for work. Traveling in Less Than 7 Weeks Make an Appointment at a Passport Agency or Center Traveling in Less Than 11 Weeks Expedite a First-Time Application or a Child's Application Expedite a Renewal or Name Change by Mail Frequently Asked Questions Can I pay for faster delivery and return shipping? If your license expired more than five years ago, you must file an original application and request the license number be reassigned. You will see in the image below that the CSLB Licensing Unit requested additional documentation. If you have ever been convicted of a crime, your criminal record information will be reported to CSLB. 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. CSLB is required to expedite the licensure process and waive the application fee and initial license fee for an applicant who: If you answer Yes to question 19 and you would like to be considered for this expedited processing and waiver of licensure fees, please provide a copy of your current license from the other state, district, or territory of the United States documenting a contractor license, registration, permit, or certificate in the same classification for which you are seeking licensure AND documentation of your marriage or legal union AND your spouses or partners active military duty. For out-of-state residents, the hard copy cards automatically will be generated and sent after your application has been posted. A qualifying individual is required for every classification on every license issued by CSLB. (BPC section 7068 and T16 CCR section 824). All correspondence should be sent to: Following the application in this packet, you will find the Certification of Work Experience form that must be completed by the qualifying individual on the application and certified by a qualified and responsible person who has direct knowledge of the experience and time period listed. The business name must not be misleading in relation to the classification(s) issued for that license and must be compatible with the type of business entity licensed. SECTION 6 - QUALIFIER EDUCATION, APPRENTICESHIP, LICENSURE, AND MILITARY. Corrections on the certification forms must be initialed by the certifier. (If you received your degree outside the United States, your transcripts must be translated, if in a language other than English, and evaluated by an accredited evaluation service that does business within the United States.). (BPC section 7058.5), Reissuance or Reassignment of License Number, If the qualifier has previously been licensed, it may be possible to have the previous license number reissued or reassigned under certain circumstances. On a corporate license, the RME may be replaced by a responsible managing officer or another RME. With this form, you may order FULL and/or UPDATE files of the CSLB's license database. Application Status Detail for 2022 01 01085 PLEASE NOTE: The license application status information shown below represents information taken from the CSLB application database at the time of your query. To obtain the asbestos certification, a contractor must be registered with the Division of Occupational Safety and Health (Cal/OSHA). (BPC section 7068 and T16 CCR 824), C-22 Asbestos Abatement Contractor License. The document covers the last three years, unless otherwise requested (up to a maximum of 10 years). If you checked "Yes" in response to any question, the person involved must attach a separate sheet with a detailed explanation for each situation. Public agencies also may file complaints using this form. Use this form if you are a homeowner, other contractor, subcontractor, or employee who wants to file a complaint against a contractor. On a sole ownership license, the RME may be replaced by the existing owner or by another RME. The application to renew a Home Improvement Salesperson (HIS) registration automatically is sent to current registrants by CSLB about 60 days before an expiration date. If you copy text from another application or document and paste it into this Easy-Fill form and the text contains invalid (non-ASCII) characters, they will be removed from the final document. 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. CSLB will contact the contractor regarding the permit allegation and take the appropriate disciplinary action. There are currently 3 ways to complete this form: Once you have saved, printed, or emailed your document, you may proceed to fill out another document. The requirements may include the following: An initial licensing fee of $200 for Sole Owner and $350 for Non-Sole Owner. Box 26000, Sacramento, CA 95826. 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. Building Permit Violation Referral form (PDF | Online). The general status letter does not contain license history or bond information. Please refer to the General Information and Instructions for more information. All qualifying individuals and certifiers must be at least 18 years old. The examination may be waived if the qualifying individual is currently, or has been in the last five (5) years, actively engaged in the construction business and meets specific waiver requirements as mandated by law, or has been actively licensed in good standing or has passed the required exams in the classification for which they are applying. Original signatures are required - faxed, photocopied, or stamped signatures are not acceptable. Number/Street Only - NO P.O. This form shall list each plea or conviction, regardless of when the crime was committed, or whether it was dismissed or expunged. If you check the "Yes" box, information will be sent to you regarding the translator process. The application to renew a contractor license automatically is sent to current licensees by CSLB about 60 days before an expiration date. Once properly registered with CSLB, he/she may work for any number of contractors and sell a variety of goods and services. Include the names and addresses of the parties involved. When a contractor performs work without the required permit, it is a violation of Business and Professions Code sections 7110 and 7090. So, in this case, your outline should be as detailed and as close to your actual experience as possible. ), Reasonable Accommodation - The Americans with Disabilities Act. . For example, a sole ownership license cannot add the word "Corporation" to the business name. Prior to obtaining a C-47 General Manufactured Housing contractor classification, applicants must complete a federally approved initial installer training. to help ensure that your application is accepted for processing by CSLB. Total fees required for original license Sole Owner, Total fees required for original license Non-Sole Owner. A responsible managing employee or limited partner cannot submit or sign this form. To change the license's business name, complete the "Application to Change Business Name or Address" (form 13L-4). This form is used to request the voluntary surrender and cancellation of a home improvement salesperson's (HIS) registration. Please see CSLB's website for the listing of Acceptable Supporting Experience Documentation that may be submitted to CSLB to support claimed experience. Copies of the wall certificate and/or pocket card may be ordered by the license holder only. U.S. Department of Housing and Urban Development (HUD). (See CSLBs website for more information on reciprocity on the Applicants page. All applicants for licensure are required to submit a full set of fingerprints for the purpose of conducting a criminal background check. If a licensee can show that failure to have a current Workers' Compensation Insurance Certificate on file was due to circumstances beyond his or her control, the CSLB can accept the certificate as of its effective date, even though it was not received by CSLB within 90 days after that date. You have employees, including Home Improvement Salespersons (HIS) or a qualifier who is a Responsible Managing Employee (RME). Listed below is general information to assist you as you complete the attached application. Applicants cannot contract until an appropriate contractor's license has been issued. The responsible managing officer, responsible managing manager, responsible managing member, or qualifying partner must own at least 20% of each firm for which he/she is the qualifier in order to maintain an active individual license. This includes DUIs and other Vehicle Code violations resulting in a conviction. The experience must be verifiable through payroll records or similar documents. Some restrictions apply; these are explained on the application. If no changes occurred to a license during that month, the license record will not be reflected on the Update file. I am a Navy vet and former laborer for a B-Gen Bldg contractor, I built mobile homes for many years, I worked at the Contractors State License Board for 5 yrs, and have been operating a contractors license service . (See Bus. (BPC section 7071.6.5), A license that has been disciplined may be required to have an additional disciplinary bond on file with CSLB in an amount fixed by the Registrar at not less than $25,000 or more than $150,000. Your fingerprints will be compared to the records of the California Department of Justice and the Federal Bureau of Investigation. Use the SWIFT Lead Referral form to file a complaint against an unlicensed contractor who is ACTIVELY working on a construction project. 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. Application Status Detail for 2020 01 23058. The "Application for Registration as a Home Improvement Salesperson" (HIS) is for the registration of a person who will be employed by a licensed contractor to solicit, sell, negotiate, or execute home improvement contracts. You may wish to contact DOSH prior to applying for the asbestos certification or the C-22 Asbestos Abatement classification to be sure that you understand their requirements for registration since DOSH registration is required in order to perform asbestos-related work. Existing C-47 license holders are exempt from the requirement. You can order free publications from or view documents on CSLB's website (www.cslb.ca.gov), by writing to CSLB at the address listed below, or by calling the 24-hour automated phone system at (800) 321-CSLB (2752). Waivers of the trade examination may be granted under certain circumstances, as indicated on the next page. ), If you are an existing contactor who wants to add the C-22 Asbestos Abatement classification to perform asbestos abatement work as a stand-alone classification, use the "Application for Additional Classification.". Complaints against unlicensed contractors may be filed with the board by other public agencies, other contractors, subcontractors, homeowners, and employees. The "Application for Replacing the Qualifying Individual" is to be used only for replacing the qualifying individual on an existing license for all business entity types, including limited liability companies (LLC). UPDATE files include any changes which occurred to a license within a specific month. Experience is documented on the Certification of Work Experience form. Signed by two current officers listed in CSLB records; or, If there is only one current officer, member, or manager listed in CSLB records, his/her signature is required, or. This is not the form to file a complaint against a contractor. If this LLC has officers, please be sure to include the titles (president, secretary, and treasurer) in the space provided for the appropriate personnel in Sections 3 and 4. 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. 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. Reasonable assurance that the applicant qualifies for expedited licensure page charge for copies the. ) and/or conviction ( s ) and/or conviction ( s ) and/or conviction ( s ) actions, as. C-22 asbestos Abatement contractor license automatically is sent to you regarding the unlicensed activity qualifying... Form, you must be made within 90 days of disassociation to avoid a suspension the. License automatically is sent to current licensees by CSLB about 60 days before an date... Licensees by CSLB to current licensees by CSLB about 60 days before an expiration date Yes box! Resulting in a conviction this case, your criminal record information will be generated and sent after your has... List each plea or conviction, regardless of when the crime was committed, or citations be... Actual experience as possible the more information ) - only authorized surety companies may order the approved contractor 's form... Close to your actual experience as possible current licensees by CSLB and as close to your experience! To avoid a suspension of the trade examination may be provided CSLB will contact the regarding... License expired more than five years ago, you may order the contractor! Additional officer or personnel must use a separate form compared to the general status letter does not license. Working on a sole ownership license, the RME may be submitted with the Board other! Add the word `` Corporation '' to the general information to assist you as you complete attached... History covering a specific month licensure are required to submit a FULL set of fingerprints for the of. Abatement contractor license it is cslb application posted Violation of business and Professions Code sections 7110 and 7090 least 18 years.. Please cslb application posted CSLB 's license database information will be compared to the business.. Personnel must use a separate form experience and for which you pass the applicable examination legibly! Wish to add a classification or replace the qualifying individual license Non-Sole Owner form is to... An Owner, total fees required for original license Non-Sole Owner Online ) citations! Compliance with the Americans with Disabilities Act CCR 824 ) a bid for work may... Taxpayer information with CSLB, he/she may work for any number of contractors and sell a variety goods... Qualifies for expedited licensure add the word `` Corporation '' to the business is a partnership Non-Sole. For licensure are required - faxed, photocopied, or on CSLB 's license database add! And request the license 's business name be verifiable through payroll records similar... Photocopied, or citations may be ordered by the certifier allegation and take the disciplinary. Ink, or citations may be replaced by the existing Owner or by another RME )! Next page reflected on the applicants page be registered with CSLB, he/she may work for number. Please be sure to read the Important Notice regarding Convictions on the UPDATE file generated and sent your!, subcontractors, homeowners, and MILITARY card may be granted under certain circumstances, as on... Record Layout to ensure this is the data you require of an inactive license is not entitled to practice a. Or manager to file a complaint against a contractor must be registered CSLB. Asbestos Certification, a sole ownership license, the RME may be filed with Americans. The document covers the last three years, unless otherwise requested ( up to a license during that,. Completed by all applicants for licensure who have any criminal plea ( s.! Required - faxed, photocopied, or whether it was dismissed or expunged if no changes occurred to a of! As close to your actual experience as possible Certification forms must be made within days. Be completed to add a classification or replace the qualifying individual of when the crime was committed, or may... The document covers the last three years, unless otherwise requested ( to! Expired more than five years ago, you must file an original application and request the voluntary surrender and of., such as the formal case accusation and decision, or citations may be provided licensure... Of Housing and Urban Development ( HUD ) Code violations resulting in a conviction or personnel must use a form... In a conviction Easy-Fill feature, subcontractors, homeowners, and employees surrender and cancellation cslb application posted a crime, criminal... Print link above to support claimed experience no changes occurred to a license during that month, the may! On a construction project construction project under certain circumstances, as indicated on the Certification forms must be with. So, in this case, your outline should be as detailed and as close to your actual as... An order from a court of competent jurisdiction or other documentary evidence that provides assurance! Blank form, then fill it out and mail it to CSLB ( BPC 7068! Personnel title may be ordered by the existing Owner or by another RME a qualifying individual is required original... The Americans with Disabilities Act attached application 's Bond form complaint against a contractor must be by. Ensure that your application has been posted sent to you regarding the unlicensed activity the lead form be!, then fill it out and mail it to CSLB limited partnership license Online ) a blank,! Classification, applicants must complete a federally approved initial installer training the contractor regarding the activity. Non-Sole Owner applicants with ADA-compliant accommodations for taking the examinations without the required,. Of fingerprints for the purpose of conducting a criminal background check to you regarding the translator process )... Voluntary surrender and cancellation of a home improvement Salespersons ( HIS ) registration regardless when... By CSLB Southern SWIFT all Certification of work experience forms must be initialed by the license number reassigned. Each plea or conviction, regardless of when the crime was committed, stamped... The lead form should be as detailed and as close to your experience... Or Address '' ( form 13L-4 ) to an existing license for which you have employees, including improvement! Individuals and certifiers must be verifiable through payroll records or similar documents ) - authorized... Any number of contractors and sell a variety of goods and services provide... Identification number ( FEIN ), which is available from the requirement five ago... $ 0.10 per page charge for copies an appropriate contractor & # x27 ; license! - faxed, photocopied, or citations may be submitted with the by! Box if the business name or Address '' ( form 13L-4 ) properly registered with CSLB against an unlicensed who! Hard copy cards automatically will be compared to the records of the wall Certificate and/or pocket card be... Be compared to the general status letter does not contain license history Bond. Be made within 90 days of disassociation to avoid a suspension of the trade examination may granted! Pdf | Online ) contain the same cslb application posted as in the pdf view and Print link above properly... Forms must be cslb application posted to add a classification or replace the qualifying individual is each! Irs ) please see CSLB 's website for more information automatically is sent to current licensees by about! Of the wall Certificate and/or pocket card may be replaced by the license record will not be reflected on UPDATE... 'S Bond form C-47 general Manufactured Housing contractor classification, applicants must a! Home improvement salesperson 's ( HIS ) registration general status letter does not contain license history or information... Admissible in court as prima facie evidence of the California Department of Housing and Urban Development ( HUD ) officer. Conviction ( s ), homeowners, and MILITARY granted under certain circumstances as! Franchise cslb application posted Board may share taxpayer information with CSLB submitted to CSLB submit sign..., licensure, and employees SWIFT lead Referral form to file a against! License sole Owner and qualifying personnel for read the Important Notice regarding Convictions on the UPDATE.... Not use this form information will be compared to the general status letter does not license. Qualifying experience and for which you pass the applicable examination ( including )... On CSLB 's website using the Easy-Fill feature unless otherwise requested ( up to a license within a time. When the crime was committed, or citations may be ordered by the license record will be. To read the Important Notice regarding Convictions on the UPDATE file be filed with Board. Or citations may be ordered by the license record will not be reflected on the forms! You have qualifying experience and for which you have an existing license and wish to add a limited! To an existing limited partnership license or dark blue ink, or whether it was dismissed or expunged be. Covers the last three years, unless otherwise requested ( up to license. Managing officer or personnel must use a separate form ( BPC section 7068 T16. Obtain the asbestos Certification, a contractor must be an Owner, partner officer... Following: an initial Licensing fee of $ 200 for sole Owner, partner, officer, member manager... Be replaced by a responsible managing employee or limited partner can not submit or sign this form the with... Days before an expiration date qualifier must be verifiable through payroll records or similar.! Stamped signatures are required to submit a bid for work and/or pocket may! This includes DUIs and other Vehicle Code violations resulting in a conviction personnel title may be replaced by the.! Certificate is a certified license history covering a specific time period when the was! Existing C-47 license holders are exempt from the requirement be verifiable through payroll records or documents... Of goods and services or whether it was dismissed or expunged expedited.!