Trussville, AL · Jefferson County
Contractor Registration Form - Trussville, Alabama
Register as a licensed contractor in Trussville, Alabama. Submit your credentials to City of Birmingham Building & Safety Department in Jefferson County.
Department: City of Birmingham Building & Safety Department
Contractor/Business Owner Name
Your answer
Company Name
Your answer
Business Address
Your answer
Phone Number
Your answer
Email Address
Your answer
State Contractor License Number
Your answer
License Expiration Date
Your answer
Type of Contractor
General Contractor
Electrical
Plumbing
HVAC
Roofing
Other Specialty
Contractor Classification
Residential
Commercial
Both
Years in business
Less than 1 year
1-3 years
3-5 years
5-10 years
10+ years
Do you carry general liability insurance?
Yes
No
Insurance carrier and policy number
Your answer
Coverage amount
$500,000
$1,000,000
$2,000,000
Other
Do you carry workers' compensation insurance?
Yes
No
Exempt (no employees)
Number of employees
1 (owner only)
2-5
6-20
20+
Have you had any license suspensions or violations?
No
Yes
List any specialty certifications or trade memberships
Your answer
References (provide 2-3 recent project references)
Your answer
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