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Contractors License Application

  1. Type of Work*
  2. Plumbers
    Plumbers must submit a current State of Illinois Department of Public Health License (055 License).
  3. Upload signed copy of $10,000 Surety Bond in the name of the Village of Riverside. A signed original will need to be sent to the Village Offices.
  4. Upload a copy of your Certificate of Insurance with the Village of Riverside named as certificate holder. (Proof of worker's compensation should be indicated if required by the State.)
  5. Worker's Compensation
  6. Upload a copy of your state or local licenses (i.e. electric, 055 or roofing)
  7. Payment
    The $100 licensing fee must be received by the Village Offices before the license can be issued. Please contact the office with any questions.
  8. If you are a subcontractor for a larger project, please upload your signed letter of intent. This form is not intended for building permit applications.
  9. Note
    There is a penalty for starting any work without a current contractor's license and/or building permit no less than double the cost of the permit.
  10. Electronic Signature Agreement*
    I hereby agree to comply striclty with all applicable codes and ordinances of the Village of Riverside, during the course of work and have submitted a $10,000.00 Surety Bond naming the Village of Riverside and a Certificate of Insurance with the Village named as an additional certificate holder.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  11. Leave This Blank:

  12. This field is not part of the form submission.