License Request Form
Complete and accurate information improves the process for all parties. Anything that doesn't fit within a given field should be included in "Comments/Special Instructions" field at the bottom. Thank you!
Requester Information
Requester Name
Requester Title (read only)
This is only to confirm proper Name selection from database.
Requester Email (read only)
Requester Alternative Email (optional)
Requester Phone Number
Requester SF ID
Please be aware that business licenses can take up to 7 to 10 business days from receipt, and construction or other professional licenses can take anywhere from 15 business days from receipt to three months. COVID has dramatically impacted the turnaround times at many government entities.
Company Legal Entity Applying for License (Obligor)
Please select...
InfraServices Group Resources LLC
InfraServices Group Wireless LLC
Recovery Logistics LLC
Reason for License Request
Estimated Need Date
Type of License:
Business
Construction/Contractor/Trade
Engineering/Professional
Endorsement
Business License: To pull a permit, file a permit application, or close out a permit in a city or county
Construction license: For Contractor's Registration, or a Contractor's License at a state, city or county level
Authority/Issuing Body Name
Business License
Filing/License Type
City
County
City & County
Reservation/Territory
State
Town
City
County
Reservation/Territory
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Company related information
Is there a specific company Office related to this license request?
Yes
No
Office
Office Street (read only)
This is only to confirm proper Office Name selection from database.
BizQTK Office SF ID
Emergency Contact (company employee)
For on-premise emergencies.
Emergency Contact Title (read only)
Best Phone Number for Emergency Contact
Emergency Contact SF ID
Number of Full Time Employees within jurisdiction
Number of Vehicles within jurisdiction
Anticipated Gross Receipts within jurisdiction (current year)
Actual Gross Receipts within jurisdiction (past year)
Contractor/Construction/Trade License
List and describe all relevant work to be performed.
Please be thorough and detailed.
Classification
Occupation/License Type
Please select...
Electrical
General Contractor
Low Voltage
Specialty/Other
Describe Specialty/Other occupation
Filing/License Type
City
State
County
City & County
City
County
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Company related information
Company Employee to be Qualifier
Qualifier Title (read only)
Qualifier SF ID
Will a Bond be required?
Yes
No
Bond Related
Describe Bond Requirements/Instructions
Bond Application or Documentation
Will a COI be required?
Yes
No
COI Related
COI Request Link
Describe COI Requirements/Instructions
Project Related Information
Project Manager
Project Manager Title (read only)
Scheduled Start Date of Project
Duration of Project
Site ID/Oracle ID
Customer
Is this license fee billable to the Customer?
Yes
No
Estimated Revenue of Project
Number of Employees on this Project
Project Manager SF ID
Engineering Professional License
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Profession/License Type
Please select...
Engineering
Specialty/Other
Describe Specialty/Other Profession
Pro Filing/License Type
Company related information
Responsible Charge (company employee)
Responsible Charge Title (read only)
Responsible Charge's License Number
Responsible Charge SF ID
Primary company Office
Primary Office Street (read only)
This is only to confirm proper Office Name selection from database.
Primary QTK Office SF ID
Alternative company Office
Alternative Office Street (read only)
This is only to confirm proper Office Name selection from database.
Alternative QTK Office SF ID
Comments/Special Instructions
Document Upload
License Application
Other Supporting Documentation
Wireless Disty
Non-wireless Disty
Contact Information