City of Temple Terrace Customer Service

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Contractor Registration Form

  1. Application For Contractor Registration

  2. State of Florida License (DBPR) Card Proof of Workers Comp Insurance (w/ City of Temple Terrace as Certificate Holder)

  3. Signature of Applicant:

    Affidavit of applicant: I, the undersigned Individual; or if a corporation, for itself, its officers and directors, hereby swear or affirm that I am duly authorized to make the foregoing application and that all statements are a true and correct representation. Further, I acknowledge that I have read this application and agree that providing false information shall constitute grounds for revocation of any license pursuant hereto.

  4. Electronic Signature of Applicant*

  5. Leave This Blank:

  6. This field is not part of the form submission.