Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to access the form and open it in your document editor.
2. Provide your legal name in the designated fields, including last name, first name, middle name, and suffix if applicable.
3. Enter your date of birth in the required format: month, day, and year.
4. Select your gender by marking the appropriate option.
5. Input your social security number as it is required for the application process, taking note of the necessary disclosure information.
6. Fill in your current mailing address where correspondence will be sent; a post office box is acceptable.
7. Provide your physical address, ensuring not to use a post office box.
8. Write a reachable phone number including the area code for daytime contact.
9. Enter your email address to receive important updates and notifications related to your application. This information will remain confidential.
10. Indicate whether you have any criminal history by selecting 'yes' or 'no,' and if applicable, attach the required Criminal History Questionnaire for any offenses.
11. Answer questions regarding any disciplinary action history related to occupational licenses, and provide necessary attachments if needed.
12. Complete the Louisiana Statewide Contractor section if applicable, and attach the requisite documentation as instructed.
13. If applicable, fill out the North Carolina Unlimited Electrical Contractor section and attach the necessary certification.
14. Read the Statement of Applicant carefully before signing and dating the application, confirming compliance with all relevant regulations.
15. After completing the form, review all entries for accuracy. Save your changes, then download, print, or share the form as necessary.

Get started today by filling out your application online!