Contractor License
Business/Contractor Name
Mailing Address
License Type
Owner's Name
Owner's Address
Business Phone Number
Cell Phone Number
Home Telephone Number
Taxpayer ID#/EIN
Email Address
Home Email Address
Fax Number
In the event of a major disaster, would your business be willing to donate equipment and operator labor to assist in emergency cleanup and recovery?
Yes
No
If so, what type of equipment would you be willing to make available?
License is not valid until payment and proof of insurance have been received and license has been issued by the building and planning department.
Email proof of worker's comp insurance or notarized waiver to gearnest@jacksonmo.org.
Payment can be made by phone at (573)243-2300.