The Alabama Department of Public Health - adph 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your company name, street address, city, state, and zip code in the designated fields. Ensure all information is accurate for processing.
3. If your mailing address differs from your street address, fill in the separate mailing address section provided.
4. Provide contact details including the contact person's name, business phone number, fax number, web address, and email address.
5. Indicate the type of contractor by checking all applicable boxes such as Inspection, Designer, or Abatement. Remember to submit a separate fee for each discipline selected.
6. List the last three inspections or projects completed along with their details including project name, location, contact person, start date, and completion date.
7. If certified in another state, complete the additional information regarding your license or certification number and its issuance date.
8. Finally, attest to the accuracy of your application by signing and dating it at the bottom before submission.

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