Tdlr Contractors License PDF Details

If you are a contractor in the state of Texas, you know that you need a license to work. In order to get your license, you must fill out and submit the Tdlr Contractors License Form. This form is used to gather all of the necessary information about your business and yourself so that the Tdlr can process your application. It is important to make sure that all of the information on this form is accurate, as any mistakes could delay or even prevent your license from being issued. Luckily, the help section on the Tdlr website provides detailed instructions on how to fill out this form correctly.

Below is the details about the form you were looking for to fill out. It will show you the length of time you will require to complete tdlr contractors license, exactly what fields you will need to fill in, etc.

QuestionAnswer
Form NameTdlr Contractors License
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namestdlr electrical license application, tx licensing electrical contractor, texas electrical contractor license, tdlr contractor license

Form Preview Example

ELECTRICAL OR ELECTRICAL SIGN CONTRACTOR LICENSE APPLICATION INSTRUCTIONS

DOCUMENTS SUBMITTED WITH YOUR APPLICATION WILL NOT BE RETURNED. KEEP A COPY OF YOUR

COMPLETED APPLICATION, ALL ATTACHMENTS, AND YOUR CHECK OR MONEY ORDER. CHECKS OR MONEY ORDERS PAYABLE TO TDLR

1.LICENSE TYPE - Check the license type you are applying for.

2.BUSINESS NAME - Write the full name of your business as it will appear on your license. (40 characters maximum).

If there is more than one business name, an assumed name certificate is required. If your business is incorporated, contact the Texas Secretary of State’s office for a certificate. If your business is not incorporated, contact your local county clerk’s office. NOTE: The certificates are not required by TDLR. This is only required for your records.

List the full assumed names or DBA’s for this business on the certificate of liability Insurance form. The name/assumed business name on the certificate of liability must match the name on the application.

Assumed names will NOT print on the actual license.

All business names will be listed on the TDLR website.

3.FEDERAL ID NUMBER - Write the federal ID number that is used by your business. Information about Federal or Employer ID numbers can be found at: www.irs.gov/businesses.

4.TYPE OF OWNERSHIP - Check the box that shows how your business is organized.

5.MAILING ADDRESS - Write your current business mailing address. This is the address where we can send you mail. A post office box can be used. You can add the zip plus-4 to help the postal service deliver mail more efficiently and accurately.

6.PHYSICAL ADDRESS - Write the physical address (location) of your business. Do not use a post office box.

7.PHONE NUMBER - Write a telephone number, including the area code where we can reach you during the day or where we can leave you a message.

8.EMAIL ADDRESS - Write your email address. By providing my email address I authorize TDLR to send licensing communications and required notices to me by electronic mail. I understand that I may revoke this authorization in writing and that I must update my email address, or I will not receive these notices. I understand that the email address I have provided in this application will remain confidential except as permitted or required by law.

9.POINT OF CONTACT - Write the contact information of a person we can contact about your business. See item 8 for email address disclosure information.

10.GENERAL LIABILITY INSURANCE - You must attach proof that your business has the minimum liability insurance required by law and rule. A certificate of insurance must be attached to your application. Electrical contractors are required to have at least the minimum general liability insurance coverage at all times to satisfy proof of financial responsibility. The insurance must:

be at least $300,000 per occurrence (combined for property damage and bodily injury);

be at least $600,000 aggregate (total amount the policy will pay for property damage and bodily injury); and

be at least $300,000 aggregate for products and completed operations.

Proof of your general liability insurance may be submitted on an industry standard certificate of insurance form with a 30-day cancellation notice. Insurance must be obtained from an admitted company or an eligible surplus lines carrier, as defined in the Texas Insurance Code, Article 1.14-2, or other insurance companies that are rated by A.M. Best Company as B+ or higher.

TDLR Form ELC003 rev September 2019

11.WORKERS’ COMPENSATION INSURANCE - Check the box that identifies how you have satisfied the Workers’ Compensation Insurance requirement.

I have workers’ compensation insurance: Proof of workers’ compensation insurance can be submitted on an industry standard certificate of insurance form with a 30-day cancellation notice. Insurance must be obtained from an admitted company or an eligible surplus lines carrier, as defined in the Texas Insurance Code, Arti- cle 1.14-2, or other insurance companies that are rated by A.M. Best Company as B+ or higher.

I have self-insurance: The Self-Insurance program administered through the Texas Department of Insurance, Division of Workers’ Compensation (DCW) is limited to larger-size employers. Employers must show a manual premium of at least $500,000 in Texas or $10,000,000 nationally, post a minimum-security deposit of $300,0000, in addition to other substantive requirements in order to be approved as a Certified Self- Insurer. Generally, companies with less than 200 employees will not meet the abovecriteria.

For more information or to request an initial application packet, contact Division of Workers’ Compensation Self-insurance Regulation by calling (512) 804-4345 or faxing (512) 804-4346 during normal business hours of 8:00 a.m. to 5:00 p.m. Monday through Friday CST.

Self-Insurance Regulation

Texas Department of Insurance

Division of Workers’ Compensation

7551 Metro Center Drive Suite 100, MS-96

Austin, Texas 78744-1609

I do not have workers’ compensation insurance: Subchapter A, Chapter 406, Labor Code and the rules of the Texas Department of Insurance provide for employers to not have workers’ compensation insurance. An Employer Notice of No Coverage or Termination of Coverage Form (DWC Form-005) is filed and can be obtained by calling TDI/DWC forms management at (512) 804-4990. The form and related instructions can be downloaded at: www.tdi.texas.gov/forms/form20numeric.html. Contact TDI/DWC at (800) 372-7713 or (512) 804-4000 for additional information.

12.TEXAS MASTER ELECTRICIAN/MASTER SIGN ELECTRICIAN ASSIGNED TO THIS CONTRACTOR - This sec- tion must be completed by the master electrician or master sign electrician.

An Electrical Contractor can ONLY have a master electrician assigned to the electrical contractor.

An applicant for an electrical contractor license must be:

licensed in Texas as a master electrician or

employs a person licensed in Texas as a master electrician.

An Electrical Sign Contractor can have EITHER a master electrician or master sign electrician assigned to the electrical sign contractor.

An applicant for an electrical sign contractor license must be:

licensed in Texas as a master electrician or master sign electrician or

employs a person licensed in Texas as a master electrician or master sign electrician.

Do you own more that 50 percent of this contracting business? - Check YES or NO to thisquestion.

A person who holds a Texas master electrician or master sign electrician license can only be assigned to a single electrical contractor, unless the master electrician owns more than 50 percent of the electrical con- tracting business.

Name, license number, date, and signature of master electrician/master sign electrician - Sign this section, print your name and license number as it appears on your master electrician/master sign electrician license issued by TDLR.

13.STATEMENT OF OWNER - Carefully read the statement before signing and dating your application. This section can be completed by an officer of the business.

TDLR Form ELC003 rev September 2019

ELECTRICAL OR ELECTRICAL SIGN CONTRACTOR LICENSE APPLICATION

DO NOT WRITE ABOVE THIS LINE

YOU MUST MEET ALL REQUIREMENTS WITHIN TWELVE MONTHS OF THE FILING DATE, OR THE APPLICATION WILL BE TERMINATED.

APPLICATION FEE: $110 (FEE IS NON-REFUNDABLE)

1. License Type:

ELECTRICAL CONTRACTOR

OR

ELECTRICAL SIGN CONTRACTOR

A separate application must be completed for EACH separate license type.

2.Business Name: (as it will appear on your license, 40 character limit) See instruction sheet for more information

______________________________________________________________________________________________

3.Federal ID Number: See instruction sheet

________________________________________

4. Type of Ownership:

 

 

Sole Proprietorship

Corporation

Limited Partnership

Limited Liability Company

Limited Liability Partnership

General Partnership

5.Mailing Address: (PO box can be used for this address)

Number, Street Name, Suite Number/Apartment Number

City, State, Zip Code

6.Physical Address: (PO box cannot be used for this address)

Number, Street Name, Suite Number/Apartment Number

City, State, Zip Code

7. Phone Number:

_______________________________

(Area Code) Phone Number

8. Email Address:

Email address (ex: johndoe@gmail.com) (See Instruction sheet for disclosure information)

9. Point of Contact:

_______________________________________________________________________________________________

Last, First Name, Middle Initial, Suffix (JR, SR, III)

___________________________________________

_________________________________________________________________________

(Area Code) Phone Number

Email Address (Ex: johndoe@gmail.com) See instructions sheet for disclosure information

TDLR Form ELC003 rev September 2019

Page 1 of 2

10. General Liability Insurance:

Electrical contractors are required to satisfy proof of financial responsibility by maintaining general liability insurance coverage as stated below:

(a)at least $300,000 per occurrence (combined for property damage and bodily injury);

(b)at least $600,000 aggregate (total amount the policy will pay for property damage and bodily injury coverage);

(c)at least $300,000 aggregate for products and completed operations.

A certificate of insurance must be attached to your application. The name/assumed business name on the certificate of liability insurance must match the business name on your application. See instructions sheet for more information.

11. Workers’ Compensation Insurance: (Choose one of the following)

I have workers’ compensation insurance

I have self-insurance.

I do not have workers’ compensation insurance

See instructions sheet for more information

THIS SECTION MUST BE COMPLETED BY A MASTER ELECTRICIAN OR MASTER SIGN ELECTRICIAN

Do you own more than 50 percent of this electrical/electrical sign contractor business?

Yes No

 An Electrical Contractor can ONLY have a master electrician assigned to the electrical contractor.

An applicant for an electrical contractor license must be:

 licensed in Texas as a master electrician or

 employs a person licensed in Texas as a master electrician.

 An Electrical Sign Contractor can have EITHER a master electrician or master sign electrician assigned to the electrical sign contractor.

An applicant for an electrical sign contractor license must be:

 licensed in Texas as a master electrician or master sign electrician or

 employs a person licensed in Texas as a master electrician or master sign electrician.

I agree to assign my license to this contractor and certify that I will comply with all applicable provisions of Texas Electri- cal Safety and Licensing Act; Texas Occupations Code, Chapter 1305 and Chapter 51; Texas Administrative Code, Chapter 60; and the Electricians Administrative Rules, Texas Administrative Code, Chapter 73. I understand that provid- ing false information on this application may result in the revocation of my electrician license and this contractor license and the imposition of administrative penalties.

________________________________

____________________________________________________________

Assigned Electrician License Number

Print Name

________________________________

____________________________________________________________

Date Signed

Assigned Electrician Signature

 

 

 

 

I certify that I will maintain the required insurance and I will comply with all applicable provisions of Texas Electrical Safety and Licens- ing Act; Texas Occupations Code, Chapter 1305 and Chapter 51; Texas Administrative Code, Chapter 60; and the Electricians Ad- ministrative Rules, Texas Administrative Code, Chapter 73. I understand that providing false information on this application may result in the revocation of the license I am requesting and the imposition of administrative penalties.

 

_______________________________________________________

 

Printed Name

________________________

_______________________________________________________

Date

Applicant Signature

TDLR Form ELC003 rev September 2019

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