Get Home Improvement License Ct

For Official Use Only HIC Rein 4/11 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION License Services Division 165 Capitol Avenue Hartford CT 06106 Email license. services ct. gov Web site www. ct. gov/dcp Home Improvement Contractor Reinstatement Form This form can only be used to reinstate an expired registration. The registration number you wish to reinstate must be entered on this form. A total reinstatement fee of 242. Services ct. gov Web site www. ct. gov/dcp Home Improvement Contractor Reinstatement Form This form can only be used to reinstate an expired registration. The registration number you wish to reinstate must be entered on this form. A total reinstatement fee of 242. 00 must accompany this form. Checks or money orders should be made payable to Treasurer State of Connecticut. For Official Use Only HIC Rein 4/11 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION License Services Division 165 Capitol Avenue Hartford CT 06106 Email license. 00 must accompany this form* Checks or money orders should be made payable to Treasurer State of Connecticut. Return this completed form with the applicable fee to the above address. Registration Number Expiration Date of Registration Contractor Information Name of Contractor to be Reinstated City Street Address Telephone Number State Zip Code Email Address Have you any partners members or corporate officers been convicted ever been convicted of a felony crime If Yes attach a statement of explanation* Yes No Mailing Address if different than above Certification I certify under penalty of law Section 53a-157b a Class A Misdemeanor that the information provided in this application is the truth to the best of my knowledge. 00 must accompany this form* Checks or money orders should be made payable to Treasurer State of Connecticut. Return this completed form with the applicable fee to the above address. Registration Number Expiration Date of Registration Contractor Information Name of Contractor to be Reinstated City Street Address Telephone Number State Zip Code Email Address Have you any partners members or corporate officers been convicted ever been convicted of a felony crime If Yes attach a statement of explanation* Yes No Mailing Address if different than above Certification I certify under penalty of law Section 53a-157b a Class A Misdemeanor that the information provided in this application is the truth to the best of my knowledge.