Eagles Mere, PA · Sullivan County

No notary required

Contractor Registration Application

Contractors use this application to register with Eagles Mere Borough before engaging in construction services covered by the borough’s contractor registration article.

What this form is

This application collects the contractor’s name and mailing address, entity type, responsible person when applicable, business telephone number, and employer identification number. Contractors must register before providing covered construction services and pay the proper registration fee. The application also calls for workers’ compensation and liability insurance documents, or a notarized affidavit of exemption from workers’ compensation insurance.

Who needs it

Entities engaging in construction services covered by the borough’s contractor registration article must register before beginning that work.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

The registration application itself does not require notarization; an attached affidavit claiming exemption from workers’ compensation insurance must be notarized if submitted.

How to submit this form

  1. 1

    Download The Application

    Download the Contractor Registration Application PDF.

  2. 2

    Complete The Registration Details

    Provide the applicant’s name and mailing address, entity type, responsible person if applicable, business telephone number, and employer identification number.

  3. 3

    Gather Required Documents

    Attach workers’ compensation and liability insurance documents, or a notarized workers’ compensation exemption affidavit instead of insurance evidence.

  4. 4

    Submit To The Borough

    Submit the application to the city department named on the form and pay the proper registration fee.

Frequently asked questions

Do I need a notary for the Contractor Registration Application?
No. The application itself does not require notarization. If you submit an affidavit claiming exemption from workers’ compensation insurance, that affidavit must be notarized.
Who must register as a contractor in Eagles Mere?
Entities engaging in construction services covered by the borough’s contractor registration article must register before providing those services.
What documents does the application ask for?
It asks for workers’ compensation insurance evidence or a notarized exemption affidavit, a liability insurance certificate, and the contractor’s federal or State employer identification number.
How do I submit the Contractor Registration Application?
Submit it to the city department named on the form; check the city website for current contact details. The document says the proper registration fee must be paid but does not state an amount.

Need something notarized?

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