Mesa, AZ · Maricopa County
Contractor Licensure Verification Form
Applicants for a Mesa building permit use this form to report their contractor license or state the basis for an asserted licensing exemption.
What this form is
Mesa’s Contractor Licensure Verification Form records whether a building permit applicant is currently licensed or claims an exemption from contractor licensing requirements. It asks for the applicant’s license information and, when the applicant claims an exemption, the basis for that exemption and the names and license numbers of contractors who will be employed on the work.
Who needs it
A person applying for a building permit who must report a contractor license or provide information about an asserted licensing exemption needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; the document does not describe a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Contractor Licensure Verification Form.
- 2
Complete The Form
Report your license information or indicate the basis for an asserted exemption.
- 3
Gather Contractor Details
If claiming an exemption, provide the names and license numbers of contractors who will be employed on the work, as applicable.
- 4
Sign And Submit
Sign and date the form, then submit it to the city department named on the form.
Frequently asked questions
- What does the Contractor Licensure Verification Form do?
- It records whether a building permit applicant is currently licensed or claims an exemption, and asks for related license details and contractor information.
- Who uses this form?
- A person applying for a building permit who must report a contractor license or provide the basis for an asserted licensing exemption uses this form.
- Do I need a notary for the Contractor Licensure Verification Form?
- No. This form is signed and dated without a notary, and it does not describe a notarized or sworn attachment or related step.
- How do I submit the Contractor Licensure Verification Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Contractor Licensure Verification Form doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.