Builder Application form

Applicant Info

Experience

Insurance

References

Individual

First Name*

Last Name*

Phone*

Email*

Title or Position*

Business

Full Business Name*

Mailing Address*

City*

State*

Zip*

Fed Tax Employer ID #*

State Tax ID #*

Corporate ID #*

Have you completed an education degree, professional designation program (NAHB or other) or apprenticeship?*

YesNo

Number of years in the construction business*

Number of dwellings built in the last 5 years*

Indicate activities your business is currently engaged in:

New ConstructionAdditions/Remodeling

Other states in which you currently provide services:

Insurance Company*

Insurance Bond Holder*

Workers Compensation as required by the state of Washington

L&I Account ID#*

Please add at least 6 references before submitting your application. There should be two of each type of reference.

Reference Type*

First Name*

Last Name*

Phone*

Email*

Reference Type*

First Name*

Last Name*

Phone*

Email*

Delete

Reference Type*

First Name*

Last Name*

Phone*

Email*

Delete

Reference Type*

First Name*

Last Name*

Phone*

Email*

Delete

Reference Type*

First Name*

Last Name*

Phone*

Email*

Delete

Reference Type*

First Name*

Last Name*

Phone*

Email*

Delete

Reference Type

First Name

Last Name

Phone

Delete

Reference Type

First Name

Last Name

Phone

Delete

Reference Type

First Name

Last Name

Phone

Delete

Reference Type

First Name

Last Name

Phone

Delete

Add Reference

Make your payment to finish the application process.

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MARCH

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Applicant Info

Experience

Insurance

References

Individual

Business

Add Reference