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Initial Application Form 10-17-08 2026
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- Click ‘Get Form’ to open the Initial Application Form 10-17-08 in the editor.
- Begin with Part I: General Information. Fill in your Contractor License Number, Entity Name, and DBA if applicable. Provide your main office address, including city, state, and zip code.
- Complete the contact information section by entering your telephone number, fax number, email address, and website address.
- In Part II: Contractor Information, specify your licensing details and primary business type. Ensure you include the name of the CSLB licensee and any relevant certifications.
- Proceed to Part III: Medical Surveillance & Workers’ Compensation Insurance Coverage. Indicate your asbestos medical surveillance status and provide details about your worker's compensation insurance.
- For Parts IV and V, attach necessary documents such as personnel rosters and safety program policies as required.
- Finally, review Part VI: Assurances and Declarations. Ensure all required signatures are obtained from management representatives before submitting the form.
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