Initial Application Form 10-17-08 2026

1. Click ‘Get Form’ to open the Initial Application Form 10-17-08 in the editor.
2. 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.
3. Complete the contact information section by entering your telephone number, fax number, email address, and website address.
4. 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.
5. 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.
6. For Parts IV and V, attach necessary documents such as personnel rosters and safety program policies as required.
7. Finally, review Part VI: Assurances and Declarations. Ensure all required signatures are obtained from management representatives before submitting the form.

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