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Get Ca Acru 186a 2011

Al Information Contractor License Number a) Entity Name: DBA (if applicable): b) Contact Information Main Office Address: Street Address City State Mailing Address: (If different) Zip Street or P.O. Box City State Other California Business Addresses: No Zip Yes Telephone No.: ( ) Fax: ( ) E-mail Address: Website Address: c) Other Information: 1. Entity Type: Corporation Partnership Ownership Documentation Attached Sole Proprietorship Joint Venture Public.

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How to fill out the CA ACRU 186a online

This guide provides a step-by-step approach to completing the CA ACRU 186a form online. Designed for users with varying levels of experience, this comprehensive guide aims to facilitate a smooth and efficient application process.

Follow the steps to fill out the CA ACRU 186a form successfully.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by completing Part I: General Information. Enter your contractor license number, entity name, and DBA if applicable. Fill in your contact information, including main office and mailing addresses, telephone numbers, fax, email, and website address.
  3. In Part I, section c, provide information about your entity type (such as corporation or sole proprietorship) and attach any required ownership documentation. Indicate your proof of legal status in the U.S. and provide the total number of employees at the time of application.
  4. For Part II: Contractor Information, enter your CSLB licensee's name and the qualifier for asbestos certification. Specify your primary business and service area.
  5. In Part III: Medical Surveillance & Workers’ Compensation Insurance Coverage, indicate your asbestos medical surveillance coverage and your worker's compensation insurance status. Attach the necessary documentation as specified.
  6. For Part IV: Personnel Roster, ensure that you attach the personnel roster and training certificates for all individuals involved in asbestos-related work.
  7. In Part V: Safety and Health Programs, provide a copy of your policies, procedures, and any applicable checklist.
  8. Complete Part VI: Assurances and Declarations. Each assurance statement must be initialed by the highest-level manager responsible for asbestos-related work. Include signature, date, and printed name for all necessary individuals.
  9. Review the entire application for completeness and accuracy, ensuring you have attached all necessary documentation. Once finished, you can save changes, download, print, or share the form as needed.

Complete your CA ACRU 186a application online today to ensure compliance and smooth registration.

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CA ACRU 186a
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