Hiring a company or individual that is unlicensed can put yourself and your property at great risk!

Phone: 1-800-966-9596

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Please complete the information below to have a license verification performed for you. Your report will be e-mailed to you (please specify your preference below in the comments field). All information submitted via this form will be kept strictly confidential.

A charge of $15.00 will be billed to your credit card per license verification.

Step 1. Enter contractor information.

Contractor Company Name:	*
License #:
Owner's Name:
Address:
City:
State:	*
Zip Code:
Comments:

Step 2. Enter your credit card information.

Your Name:	*
Card Type:	Select... Visa Master Card American Express Discover *
Card Number:	*
Expiration (mm/yy):	*
Billing Address:	*
State:	*
Zip Code:	*
Phone:	() - (ext. ) *
Your Email:	*