Who should complete the Licensing Registration Form?

Contractors use this form to provide contact, business, employee, and license information to the building department.

What should I include with the form?

Include a copy of your current license when you return the completed form.

How do I submit the Licensing Registration Form?

Return it with a copy of your current license to AGS – Building Department at 8271 Gull Road, Suite B, Richland, MI 49083, or fax it to (269) 629-0601.

Do I need a notary for the Licensing Registration Form?

No. The form is completed without a notary and requests a copy of the current license; it mentions no sworn or notarized attachment.

Leslie, MI · Ingham County

No notary required

Licensing Registration Form

Contractors use this form to register licensing and business details with Leslie’s building department and provide a copy of their current license.

What this form is

The Licensing Registration Form collects a contractor’s contact information, federal ID or Social Security number, employee details, and license numbers and expiration dates. Contractors complete it and include a copy of their current license when returning it to the building department. The form does not state a separate deadline or fee.

Who needs it

Contractors completing a licensing registration with the building department should fill out this form and include a copy of their current license.

How to submit it

Return the form and a copy of your current license to AGS – Building Department, 8271 Gull Road, Suite B, Richland, MI 49083, or fax them to (269) 629-0601.

About notarization

This form is completed without a notary; it requests a copy of the current license and mentions no sworn or notarized attachment.

How to submit this form

1
Download The Form
Download the Licensing Registration Form PDF.
2
Complete The Form
Fill in contractor contact details, employee information if applicable, and license numbers and expiration dates.
3
Gather The License Copy
Include a copy of your current license with the completed form.
4
Submit To The Department
Return the form and license copy to the listed building department address or fax them to the number on the form.

Frequently asked questions

Who should complete the Licensing Registration Form?: Contractors use this form to provide contact, business, employee, and license information to the building department.
What should I include with the form?: Include a copy of your current license when you return the completed form.
How do I submit the Licensing Registration Form?: Return it with a copy of your current license to AGS – Building Department at 8271 Gull Road, Suite B, Richland, MI 49083, or fax it to (269) 629-0601.
Do I need a notary for the Licensing Registration Form?: No. The form is completed without a notary and requests a copy of the current license; it mentions no sworn or notarized attachment.

Need something notarized?

This Licensing Registration Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.