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Contractor License Registration/Renewal Form
This form has been modified since it was saved. Please review all fields before submitting.
Type of License Renewal
*
Michigan Contractors License Number
*
Expiration Date
*
Expiration Date
Contractor Name
*
Business Name
*
Contractor Address
*
Contractor E-mail
Phone
*
Federal Employer I.D. Number or Reason for Exemption
*
Workers Compensation Insurance or Reason for exemption
*
MESC Employer Number or Reason for exemption
*
Attach a copy of your contractors License
*
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