Chillicothe, MO · Livingston County

Class C Electrical Contractor License Application

This application requests a Class C electrical contractor license from the City of Chillicothe and is filed by an electrical contractor seeking to work under a city license.

At a glance

Issued by
City of Chillicothe · Chillicothe, Livingston County, Missouri
Notarization
Required: sign this form in front of a notary before filing it.
Official source
chillicothecity.org
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index
Detailed form~25 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The form collects the applicant and business details, electrical work experience, and answers about the city exam and required documents. The accompanying checklist asks applicants to submit identification, insurance certificates or a workers’ compensation exemption affidavit, a signed affidavit about delinquent city obligations, and a $50 fee to the City Clerk’s Office. The form states these requirements for the 2021–2022 license year.

Who needs it

Electrical contractors seeking a Class C license from Chillicothe should complete the application and provide the supporting documents listed in the accompanying checklist.

Why it needs a notary

The application has an acknowledgment block for the applicant, and the workers’ compensation exemption affidavit has a jurat; the applicant or affiant signs before the notary.

How to get this notarized

  1. 1

    Download The Form

    Get the Class C electrical contractor license packet and review its checklist and included affidavits.

  2. 2

    Fill Out The Application

    Enter applicant and firm details, answer the electrical work and license questions, and gather the listed supporting documents.

  3. 3

    Book An Online Notary

    Arrange a session with a commissioned online notary for the acknowledgment and any applicable jurat.

  4. 4

    Sign On Video

    Sign the applicable blocks during the online notary session, following the notary’s instructions.

  5. 5

    Submit To The City

    Send the completed application, supporting documents, and fee to the City Clerk’s Office as directed by the checklist.

Preview the form

The blank PDF straight from Chillicothe. Look it over, then upload your filled copy to start the notary session.

Open in new tab
Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the notarized parts of this application?
Fill in the form first, but wait to sign the applicant acknowledgment and any workers’ compensation exemption affidavit until you meet with the notary. Follow the notary’s instructions for each block.
Do I need to submit an affidavit with this license application?
The checklist requests a signed affidavit stating that you do not owe the city delinquent taxes, fines, or fees. If you seek a workers’ compensation exemption, the packet also includes an exemption affidavit.
Can I sign with a commissioned online notary?
Missouri law authorizes remote online notarization by its own commissioned notaries. Ask the City Clerk whether it will accept the remotely notarized form; confirm with the city or town if unsure.
Where do I submit the application and fee?
The checklist directs applicants to submit the required documents to the City Clerk’s Office at City Hall. It lists a $50 fee, accepted by cash or check, after the required materials are received.

Ready to notarize your Class C Electrical Contractor License Application?

Drop your email below, we’ll hand you straight to a licensed notary in the next session.