Park Hills, MO · St. Francois County
Contractor License Application and Workers’ Compensation Affidavit
This packet combines a Park Hills contractor license application with a workers’ compensation exemption affidavit for construction contractors applying for or renewing a city business license without proof of workers’ compensation coverage.
At a glance
- Issued by
- City of Park Hills · Park Hills, St. Francois County, Missouri
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- parkhillsmo.net
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- 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 application collects the contractor’s license, business, applicant, background, and insurance information, and lists the documents and fee to submit with the application. Contractors in the construction industry who lack proof of workers’ compensation coverage may submit the included exemption affidavit to apply for an occupational or business license; the affidavit asks the signer to attest to the basis for exemption. The packet says a contractor who does not provide coverage proof or the affidavit should be denied a license until obtaining a certificate of insurance.
Who needs it
Construction contractors applying for or renewing a Park Hills license need the application, and those without workers’ compensation coverage proof may need the included exemption affidavit.
How to get this notarized
- 1
Download The Form
Get the contractor license application and workers’ compensation affidavit packet.
- 2
Complete The Application
Fill in the license and applicant information, select the application type and legal status, and gather the listed supporting documents.
- 3
Book An Online Notary
If submitting the exemption affidavit, book a remote session with a commissioned online notary.
- 4
Sign On Video
Sign and swear to the affidavit before the notary during your video session.
- 5
Submit To The City
Submit the completed application, notarized affidavit if applicable, and required supporting documents and fee to Park Hills.
Preview the form
The blank PDF straight from Park Hills. Look it over, then upload your filled copy to start the notary session.
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 get the workers’ compensation affidavit notarized?
- Complete the affidavit, then book a remote session with a commissioned online notary. Sign and swear to the affidavit during the video session, and submit the notarized form with your license application.
- Do I need to notarize the contractor license application?
- The packet’s notary block is on the workers’ compensation exemption affidavit, not the application verification. If you submit that affidavit, sign and swear to it before a notary.
- Can I use an online notary for this affidavit?
- Missouri authorizes its notaries to perform remote online notarizations under RSMo §486.1100 to §486.1205. A commissioned online notary can notarize the affidavit by video; confirm with the city or town if unsure.
- What should I submit with my application?
- The application lists proof of general liability insurance of at least $500,000, proof of workers’ compensation coverage or an exemption affidavit, a copy of the applicant’s photo ID, and a $25 fee.