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2. Business Name*
4. Address*
6. City*
7. State*
8. Zip Code*
10. Phone Number*
11. Fax Number
13. Email Address*
17. Submittal Requirements

    Please attached the following required documents.

19. Certificate of Insurance*
20. Surety Bond*
21. OH State Contractor License

    Applicable if work is for commercial projects

25. Tradesmen

    Please attach a list of tradesmen with the following Criteria:

    • Name
    • Master or Journeyman
    • State of Ohio License Number
    • Trade (Electric, Plumbing, HVAC)
    • Commercial or Residential ONLY
26. Attach File Here*
28. Example File
    Contractor Registration

    Please feel free to use this PDF as an attachment.

32. Registration Fee

    1. Master per Trade: $100

    1. Journeyman per Trade: $25

34. Must be at least one Master per trade.

36. Total:*

    Please calculate your total owed here. 

38. Payments can be made on the next page.

    Upon completing the Contractor Registration Application, you will be rerouted to our online payment portal. Payments may also be made at the Development Office at 201 W. Water St, Piqua, Oh 45356. For questions please get in touch with Bethany Harp at 937-778-2049 or bharp@piquaoh.gov. 

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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field