Get Request For Change Of Status

Filling out the Request For Change Of Status form is essential for users seeking to modify their licensing status. This guide provides clear and straightforward instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete your Request For Change Of Status.

1. Press the ‘Get Form’ button to obtain the Request For Change Of Status form and open it in the editor.
2. In Section I, select the type of change you are applying for, such as 'Change or Add a Qualifying Agent to an Existing Business' or 'Change from a Business to an Individual.' Be sure to check only one option.
3. In Section II, complete your personal information, including your Social Security number and full legal name. Make sure to provide any aliases in the designated area.
4. If applicable, complete Section III by confirming your workers’ compensation and liability insurance coverage, as well as understanding the amounts required.
5. Fill out Section IV with the business information, including the business name, Federal Employer ID Number (FEID), and business type.
6. Provide details about the primary qualifying agent in Section V, indicating their name and license number. Specify whether they have final approval authority.
7. If applicable, complete Section VI for any secondary qualifiers responsible for supervising construction work.
8. Respond to the background questions in Section VII. Ensure clarity and honesty in all answers.
9. If you answered 'yes' to any background questions, provide detailed explanations in Sections VIII and IX as needed.
10. Sign the affirmation in Section X to verify the accuracy of the application. This step ensures that all provided information is truthful.
11. If appointing a Financially Responsible Officer, complete Sections XI and XII with their relevant details and affirmation.
12. After completing all sections, review your application for any errors, then save changes, download, print, or share as necessary.

Take action now by filling out your Request For Change Of Status form online.