Follow the steps to successfully fill out your form.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin by entering the business name in the designated field. Make sure to spell the name exactly as it appears on legal documents.
3. Provide the principal office's street address, including the city, state, and zip code. Double-check the accuracy of this information.
4. Enter the telephone number of the business. Ensure this number is accessible for any necessary contact.
5. Indicate the website address of the business, if applicable. This step may be omitted if there is no website.
6. Select the type of business you are registering by checking one of the options provided: Partnership/Limited Liability Partnership, Corporation, or Sole Proprietorship.
7. Specify where the business was incorporated or organized by entering the city and state.
8. List the professional services your business will provide by checking the appropriate boxes, such as Civil Engineering, Mechanical Engineering, Electrical Engineering, Land Surveying, or Other.
9. Provide the names and titles of all owners, corporate officers, or partners, along with their license numbers. If needed, attach additional pages to include all relevant information.
10. List the names of licensed engineers or land surveyors responsible for professional services for your business, including their discipline/branch and license numbers. Additional pages can be attached if more space is required.
11. The form must be signed by a licensed owner or officer. Date the signature and include the relevant license number.
12. For branch offices, repeat the necessary steps to provide the address, phone number, and responsible licensed individuals as needed.
13. Once all sections are completed, review the entire form for accuracy and clarity. Save your changes, and consider downloading or printing the form for your records.

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