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OKLAHOMA CONSTRUCTION INDUSTRIES BOARD LICENSE RENEWAL APPLICATION ELECTRICAL MECHANICAL AND PLUMBING LICENSES AMOUNT DUE FOR CONTRACTORS 200. 00 PLEASE REMIT YOUR CHECK OR MONEY ORDER TO CONSTRUCTION INDUSTRIES BOARD 2401 NW 23rd Suite 5 OKLAHOMA CITY OK 73107 LATE FEE EFFECTIVE AFTER 30 DAYS FROM EXPIRATION CONTRACTOR RENEWAL AND LATE FEE TOTAL 300. 00 CREDIT CARDS NOT ACCEPTED JOURNEYMAN RENEWAL AND LATE FEE TOTAL 100. 00 ELECTRICAL MECHANICAL PLUMBING License/File CONTRACTOR JOURNEYMAN Please circle appropriate Note CONTRACTORS ONLY 1. If bond and/or insurance are expired you must mail or fax copy of continuing certificate. 2. If you are inactive and wish to place your license on the active status please mail the Original Bond plus a copy of your Certificate of General Liability Insurance Must be 30 day cancellation with your renewal form* 3. If you are active and wish to have an inactive contractor license please check here. The fee amount is the same as an active Contractor s license but no insurance or bond is required* 4. Are you a U*S* Citizen Yes No If no please provide Immigration Document. PLEASE FILL OUT ENTIRE RENEWAL FAILURE TO DO SO WILL RESULT IN DELAY OF PROCESSING YOUR LICENSE* DO NOT DETACH RETURN ENTIRE FORM INDIVIDUAL S MAILING INFORMATION PLEASE PRINT CLEARLY If Physical Address is different from Mailing Address then you must provide both Addresses. Individual s Full Name EMPLOYMENT INFORMATION MUST COMPLETE THIS SECTION Company Name Birth Date Mailing Address Social Security City State Zip Company Telephone Home Phone Cell Phone 405 271-5217 TELEPHONE Fax 1-877-484-4424 TOLL FREE 405 271-5254 FAX www. 00 CREDIT CARDS NOT ACCEPTED JOURNEYMAN RENEWAL AND LATE FEE TOTAL 100. 00 ELECTRICAL MECHANICAL PLUMBING License/File CONTRACTOR JOURNEYMAN Please circle appropriate Note CONTRACTORS ONLY 1. If bond and/or insurance are expired you must mail or fax copy of continuing certificate. 2. If you are inactive and wish to place your license on the active status please mail the Original Bond plus a copy of your Certificate of General Liability Insurance Must be 30 day cancellation with your renewal form* 3. If bond and/or insurance are expired you must mail or fax copy of continuing certificate. 2. If you are inactive and wish to place your license on the active status please mail the Original Bond plus a copy of your Certificate of General Liability Insurance Must be 30 day cancellation with your renewal form* 3. If you are active and wish to have an inactive contractor license please check here. The fee amount is the same as an active Contractor s license but no insurance or bond is required* 4. If you are active and wish to have an inactive contractor license please check here. The fee amount is the same as an active Contractor s license but no insurance or bond is required* 4. Are you a U*S* Citizen Yes No If no please provide Immigration Document. PLEASE FILL OUT ENTIRE RENEWAL FAILURE TO DO SO WILL RESULT IN DELAY OF PROCESSING YOUR LICENSE* DO NOT DETACH RETURN ENTIRE FORM INDIVIDUAL S MAILING INFORMATION PLEASE PRINT CLEARLY If Physical Address is different from Mailing Address then you must provide both Addresses. .

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