2. CONTRACTOR REGISTRATION APPLICATION
3. Registration Fee is $50 for New and $25 for Renewals. Plumbing Contractor Registration is $0. Contact 817-439-5931 ext. 115 to submit payment for online applications.

   Payment accepted is cash, check, money order, and credit cards (additional 2% fee applied when paying by credit card). Credit cards accepted are Visa, MasterCard and Discover.

4. Date of Application
6. CONTRACTOR TYPE*

   Please select one

   1. General Contractor
   2. Electrical

   1. HVAC/Mechanical

   1. Irrigator

   1. Plumbing
8. BUSINESS NAME
   Fill in the name of the business to be registered
10. STREET ADDRESS
12. CITY
13. STATE
14. ZIP CODE
16. Telephone Number (Business or Home)
17. Telephone Number Primary Job Contact
19. Email Address for Primary Contact
21. Name of Licensee
22. License Type Held

    1. Master's License
    2. Journeyman's License
24. Upload Copy of License
25. Upload Copy of Insurance
26. Upload Copy of Picture Identification
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field