Wadsworth, OH · Medina County

No notary required

Electric & HVAC Contractor Registration Application

Residential electric and HVAC contractors use this application to request a new City of Wadsworth registration or renew a current registration.

What this form is

This application is for contractors seeking a new or renewed City of Wadsworth registration for residential electrical work, HVAC work, or both. It asks for business and registrant contact details, the registration type requested, and supporting license and workers’ compensation information. Applicants identify authorized agents and provide signatures and a date; the form states registrations expire December 31 of the current year.

Who needs it

Contractors requesting or renewing a Wadsworth registration for residential electrical work, HVAC work, or both should complete this application.

How to submit it

Submit the application to the City of Wadsworth Building Department, 120 Maple Street, Wadsworth, Ohio 44281. The form lists a $50 new-registration fee and a $20 renewal fee, with a $50 renewal fee for registrations postmarked January 1 or later.

About notarization

This application is signed and dated without a notary; no notarized or sworn attachment or related step is identified.

How to submit this form

  1. 1

    Download The Application

    Download the Electric & HVAC Contractor Registration Application PDF.

  2. 2

    Complete The Application

    Print the form and provide the requested business, registrant, registration, and contact information, including an email address.

  3. 3

    Gather Required Documents

    Include a copy of the OCIEB state license certification and the required workers’ compensation document or applicable no-employees statement.

  4. 4

    Sign And Submit

    Have each authorized agent sign personally, then sign and date the application and submit it to the Wadsworth Building Department.

Frequently asked questions

Do I need a notary for the Electric & HVAC Contractor Registration Application?
No. The application is signed and dated without a notary, and it does not identify a notarized or sworn attachment or related step.
How do I submit the Electric & HVAC Contractor Registration Application?
Submit it to the City of Wadsworth Building Department at 120 Maple Street, Wadsworth, Ohio 44281. The form lists the registration fees.
What documents must I include with the application?
Include a copy of the OCIEB state license certification and either a copy of the Workers Compensation Certificate of Premium Payment or the form’s statement that you have no employees and are not required to provide workers’ compensation.

Need something notarized?

This Electric & HVAC Contractor Registration Application doesn’t need a notary — but if you have another Wadsworth form that does, a commissioned online notary can help.