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Pasadena Texas online Form 1099-CAP: What You Should Know

PLEASE PRINT OR TYPE LICENSE INFORMATION.  REQUIRED STATEMENT OF USE: “ The information contained in this application is provided to assist with the licensing or authorization of an electrical contractor. Persons who are interested in contracting with me (the “Electronic Contractor”) must understand that this electronic form is subject to verification by my office. All required information must be provided in order to register as an Electrical Provider. If you do not receive an acknowledgement of your application within 60 days after the date you submit the application, then contact me at the electronic address provided by my office. By submitting this application, the applicant represents that he (or she) is physically at the address provided by the office. You may contact the Electronics Office at Telephone:, or visit our Website at and enter a street address. I have reviewed your application. I certify that: 1. The information on the application is true and complete. 2. The applicant is entitled to engage in the business of doing business in this State as an Electrical Contractor, and that the applicant has met the qualifications required for the issuance of an electrical contractor license. 3. I am the Electrical Contractor for the Electrician and Service Contractor. I have reviewed my records and have verified that the current Electrician and Service Contractor has a current license and record of successful completion of a registration examination with the U.S. Department of Labor. 4. Furthermore, I have submitted this application without undue delay and in compliance with all requirements of this chapter.  Signature: (First or last name and title) Name of Applicant: (First or last name and the street address under which the applicant will complete the application, if different from the place of business) Date of Application: (year) City: State: Zip: Telephone Number: Fax Number Electrical Contractor's License or License Serial Number: Electronic Address: Electrical Contractor's License or License Number: Electronic Signature: I warrant and agree that if the electronic license or license serial number or electronic registration information of my electronic application is in violation of this chapter or is inaccurate the information will be corrected forthwith by the office. The electronic applications and any attached documents are subject to deletion if they are determined to be in violation of this chapter.

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