ePortal Contractor Login Request

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Please correct the field(s) marked in red below:

Business Registration Form
Please complete this form in full. After you submit this form City Staff will be notified and your account will be created. Your account information will be emailed to you within 48 hours.

Your login information will be emailed to you at the address you provide in this form below.

1
Security Question: (This is used to recover your password should you forget)
Security Question: (This is used to recover your password should you forget)
2
Business Name:
3
Business Type: (CORP, LLC, SOLE,)
Business Type: (CORP, LLC, SOLE,)
4
Contact Name:
5
Corporate Address
Corporate Address
6
Local Address
Local Address
7
Phone (Contact for Account) ex: 916-555-1212
8
Email Address (This will be used to send your login information)
9
Fax Number
10
Contractor License Information
Contractor License Information
  1. To receive a copy of your submission, please fill out your email address below and submit.
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