Get Client Registration Form

Completing the Client Registration Form online is a straightforward process that ensures your business is officially recognized by Chesterfield County. This guide will provide you with detailed instructions on how to fill out each section of the form effectively.

Follow the steps to complete the Client Registration Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your business name as it appears on your contractor’s license in the designated field. Make sure this information matches your official documentation to avoid any discrepancies.
3. In the 'Trading as' field, provide your business's trading name as listed on your contractor’s license. This helps in identifying your business during inspections and other formalities.
4. Fill in your daytime phone number in the corresponding field. This should be a number where you can be easily reached during business hours.
5. Include your fax number if applicable. If you do not have a fax number, you may skip this field.
6. Enter your cell or alternative phone number. This will serve as an additional contact method in case your daytime phone number is unavailable.
7. Provide your street address accurately in the relevant section, ensuring that it is the location your business operates from.
8. If your mailing address differs from your street address, please enter it in the mailing address field. This ensures that you receive all necessary correspondence.
9. Input your city, state, and ZIP code in the specified fields to complete the address section.
10. Enter your email address. This will allow the department to send you updates or necessary communication regarding your registration.
11. List approved agents for signature on applications. Provide name entries for up to six agents. Include their full name to ensure proper authorization.
12. Fill in your state contractor’s license number accurately. This is crucial for verification purposes.
13. Select the class of license you hold by checking the appropriate checkbox (A, B, or C). Ensuring that this is filled correctly is important for compliance.
14. Provide the expiration date of your license. This will help maintain up-to-date records.
15. Complete the license specialties section if applicable, listing your specific trade specialties.
16. If you hold a master trade card, fill in the holder's name and number along with the trade and expiration date for each applicable entry. If you have multiple trade cards, repeat this step accordingly.
17. Finally, include your business license number and the locality where your business license was issued.
18. Once all fields are filled out accurately, save changes, download, print, or share the form to complete the registration process.

Begin completing your Client Registration Form online today to ensure your contractor status in Chesterfield County.