Commercial subcontractor registration form.
$100.00 Filing Fee - NON-REFUNDABLE / NON-TRANSFERABLE
** Note that by completing the Affidavit the applicant is certifying that they have the
proper education, experience, training, skills and financial ability to perform the type of work
for which it is registering.
If the contractor is registering for a classification which requires an Arkansas trade license,
registration, or certificate, a copy of that trade license, registration, or certification must be
By choosing a classification, the applicant certifies that it has the proper education, experience, training, skills
and financial ability to perform the type of work for which it is registering. Classification(s) marked with ** require
an Arkansas Trade License or Certification.
If any of the following specialty(s) are being requested, a copy of the Arkansas trade license/certificate is needed.
Please email to: firstname.lastname@example.org, fax to 501-372-2247 or mail to:
Arkansas Contractors Licensing Board
Attn: Pending Registration
4100 Richards Rd.
North Little Rock, AR 72117
Complete the following section for each person that holds an Arkansas trade license/certificate (if more than one attach information separately).
If a Sole Proprietorship:
If a Corporation:
Note: For the purpose of the following questions, “You/Your” means, this organization, any officer,
the qualifier of this company, you, or anyone who owns 10% or more of the entity.
Answering “yes” to any of the following questions will not automatically disqualify you for a subcontractor registration.