THE  TATES
                           of 
                                              Department of Commerce, Community, and Economic Development 
                                              Division of Corporations, Business and Professional Licensing                
                              ALASKA 
                                             Construction Contractors Program 
                                             PO Box 110806, Juneau, AK 99811 
                                              Phone: (907) 465-2050 
                                         Email: ConstructionContractors@Alaska.Gov  
                              Website: ProfessionalLicense.Alaska.Gov/ConstructionContractors 

General Contractor Registration Application Instructions 
The following fees and documents must be on file with the division before the application will be reviewed: 
1. FEES
   Nonrefundable Application Fee         $100 
   Registration Fee                      $250 

   TOTAL FEES DUE                        $350 

2. APPLICATION
   A completed application, signed and notarized (#08-4815, pages 1-4).
   a.           Doing Business As (DBA) name;
   b.           For Corporations or LLCs: Name and Alaska entity number registered with the Corporations section of the
                Division. Your business entity must be registered with the Corporations Division before your General Contractor
                Registration  Application  will  be  processed.    For  information  concerning  these  requirements,  contact  the
                Corporations section at Corporations.Alaska.Gov
   c.           Names of all owners and principal officers or principal members;

3. INSURANCE
   Proof of current general liability insurance is required for registration (not less than $20,000 for damage to property,
   $50,000 for injury, including death, to any one person, and $100,000 for injury, including death, to more than one
   person).  The Certificate of Insurance Coverage form (#08-4815a) included with this packet or a certificate issued by
   your provider may be accepted.

4. WORKERS’ COMPENSATION
   If your business uses employee labor or your business is a Corporation or LLC, proof of workers’ compensation insurance 
   is required for registration.  A certificate from a workers’ compensation insurance carrier authorized by the Alaska
   Division of Insurance to transact business in Alaska is required to be included with the application.

5. BONDING
   A bond of $25,000.00 is required to register as a General Contractor.  One of the following must be submitted with the
   application for registration:
   a.           Surety Bond.  Issued by an insurer or other surety company using the Construction Contractor Surety Bond
                form (#08-4815b) with the bonding company’s power of attorney included with it.  The bond form must be
                signed by both the principal (construction contractor) and the surety (bond provider); or
   b.           Cashier’s Check. For a cash deposit to the State of Alaska to be held in a trust account established by the state.
   c.           Time Certificate of Deposit or Savings Passbook. Issued by a bank or trust company authorized to do business
                in Alaska.  The certificate or passbook must read “State of Alaska in trust for (contractor name)”.  The original
                certificate or passbook will be held by the State and must be accompanied by an Assignment of Cash Deposit
                form (#08-4815c).

08-4815 (Rev.  /9 30/2021)                     Application Instructions                                      Page 1 of 1 

General Information 
APPLICATION PROCESSING 
The average time to process a paper application varies by program but can take several weeks from the date it is received in this office complete with all 
correct forms, supporting documents and appropriate fees paid. When the application is complete and correct, and all supporting documents have been 
received and all fees have been paid, the license will be issued and sent to you. Start the process far enough in advance to allow for processing time. 
Applications are reviewed in order of receipt in our office, and walk-in customers should not expect immediate review.  
LICENSE TERM  
There is no “inactive” status. If you choose not to renew your license, it will lapse. Licenses are issued for a two-year period and expire on December 31 of 
even-numbered years, regardless of the date of issuance, except licenses issued within 90 days of the expiration date are issued to the next biennial expiration 
date. One renewal notice will be mailed at least 30 days before license expiration to the last known address of record. 
“YES” RESPONSES 
A “Yes” response in the application does not mean your application will be denied. If you have responded “Yes” to any professional fitness questions in the 
application, be sure to submit a signed and dated explanation, and the charging document and judgement. 
DENIAL OF APPLICATION 
Please be aware that the denial of an application of licensure may be reported to any person, professional licensing board, federal, state, or local governmental 
agency, or other entity making a relevant inquiry or as may be required by law. 
RANDOM AUDIT 
If your program requires continuing education, the Division will audit a percentage of the license renewals. If your license is randomly selected for audit, a 
letter will be sent with instructions to submit documentation as proof you satisfied the continuing competency requirements as stated on this renewal form.  
Licensees are randomly selected by computer and may be randomly selected as often as the computer program chooses. You must save your documents for 
at least four years so you can respond to audits. 
ADDRESS OR NAME CHANGE 
In accordance with 12 AAC 02.900, it is the applicant's/licensee's responsibility to notify the Division, in writing, of changes of address or name. Name and 
address change notification forms are available on the Division’s website. The address of record with the division will be used to send renewals and all other 
official notifications and correspondence. The name appearing on the license must be your current legal name. 
CERTIFIED TRUE COPIES   
To obtain a certified true copy, take the original document to a notary public so he/she may compare the original to the photocopy of the document. The 
notary must write “I certify this to be a true copy of the original document” on the photocopy and attest to the fact by signing and notarizing the document. 
SOCIAL SECURITY NUMBERS 
In accordance with AS 08.01.060, the department is not authorized to issue a license to a natural person, unless the applicant’s Social Security Number has 
been provided to the department. If you are a foreign citizen unable to obtain a United States Social Security Number, please contact the division for further 
instructions or obtain the Exemption from SSN Requirement form (#08-4372), from the division website at ProfessionalLicense.Alaska.Gov 
SPECIAL ACCOMMODATIONS FOR EXAMINATION 
Programs under the jurisdiction of the Division of Corporations, Business and Professional Licensing are administered in accordance with the Americans with 
Disabilities  Act.  If  you  require  a  special  accommodation  when  taking  the  licensing  examination,  you  must  submit  an  Application  for  Examination 
Accommodations for Candidates with Disabilities form (#08-4214). 
PUBLIC INFORMATION 
Please be aware that all information on the application form will be available to the public, unless required to be kept confidential by state or federal law. 
Information about current licensees, including mailing addresses, is available on the division’s website at ProfessionalLicense.Alaska.Gov under License Search. 
ABANDONED APPLICATIONS  
Under 12 AAC 02.910, an application is considered abandoned when 12 months have elapsed since correspondence was last received from or on behalf of 
the applicant. An abandoned application is denied without prejudice. At the time of abandonment, the division will send notification to the last known address 
of the applicant, who has 30 days to submit a written request for a refund of biennial license and other fees paid. The application fee will not be refunded. If 
no request for refund is received within that timeframe, no refund will be issued, and all fees will be forfeited. 
PAYMENT OF CHILD SUPPORT AND STUDENT LOANS 
If the Alaska Child Support Enforcement Division has determined that you are in arrears on child support, or if the Alaska Commission on Postsecondary 
Education has determined you are in loan default, you may be issued a nonrenewable temporary license valid for 150 days. Contact Child Support Services at 
(907) 269-6900, or the Postsecondary Education office at (907) 465-2962 or (800) 441-2962 to resolve payment issues.
BUSINESS LICENSES 
The status of a professional license will directly impact the status of an associated business license. Renewal applications for business licenses are mailed 
separately. For more information about business licenses, call (907) 465-2550 or online at:  BusinessLicense.Alaska.Gov 
STATUTES AND REGULATIONS 
The complete set of statutes and regulations for this program are available by written request or online at the division’s website: ProfessionalLicense.Alaska.Gov 
If you would like to receive notice of all proposed regulation changes for your program, please send a request in writing with your name, preferred contact 
method (mail or email), and the specific program you want to be updated on to the address below. 
                                                                 Regulations Specialist 
                         Department of Commerce, Community, and Economic Development 
                                                  Division of Corporations, Business and Professional Licensing 
                                                  EMAIL: RegulationsAndPublicComment@Alaska.Gov 

08-4815 (Rev. 9/30/2021)                                  General Information                                                              Page 1 of 1 

                 THE  TATES                                                                                                CON 
                  of                                                                             FOR DIVISION USE ONLY 
                         ALASKA 
                 Department of Commerce, Community, and Economic Development 
                 Division of Corporations, Business and Professional Licensing 

Construction Contractors Program 
PO Box 110806, Juneau, AK 99811 
Phone: (907) 465-2050 
Email: ConstructionContractors@Alaska.Gov      
Website: ProfessionalLicense.Alaska.Gov/ConstructionContractors 

General Contractor Registration Application 

PART I         Payment of Fees 
                            Nonrefundable Application Fee                                        $100.00 
New Application: 
                            Registration Fee                                                     $250.00 
Owner/Entity Change         Nonrefundable Application Fee                                         $100.00 
(Existing Licenses ONLY):   Registration Fee                                                     $250.00 

PART II        Registration Information 
Doing Business As (DBA): 
Required (12 AAC 21.030) 
                              Street                        City                          State    Zip 
Mailing Address: 

Contact Phone: 

EMAIL AGREEMENT: By choosing to receive correspondence on any matter affecting my license or other business with the Alaska Division of Corporations, Business 
and Professional Licensing, I agree to maintain an accurate email address through the MY LICENSE web page. I understand that failure to check my email account or 
to keep the email address in good standing may result in an inability to receive crucial information, potentially resulting in my inability to obtain or maintain licensure. 
                                                                                         Send my Correspondence by Email 
Email Address:                                                                           Send my Correspondence by US Mail 
Corporation, LLC, LP or LLP 
Are you a Corporation, LLC, LP or LLP? 
Reminder:  If  you  are  a  corporation  or  LLC  your  business  entity  must  be  Yes No 
registered with the Corporations Division before this application is processed. 
                                               IF YES, provide:                     
Name of Alaska 
Corporation or LLC: 

Alaska Entity Number: 

Owner or Entity Name Changes 

Are you changing the Owner or Entity name on an existing license?                   Yes No 

                                               IF YES, provide:                     

License Number: 

08-4815 (Rev. 9/30/2021)                      General Contractor Registration Application                                 Page 1 of 4 

PART III Ownership 
Check the applicable box and provide the complete name(s) of the owner(s) including all partners, corporate officers, or managing 
members, whichever is appropriate; and provide U.S. Social Security Numbers for sole proprietor or partners.  AS 08.01.060 requires 
you to provide your United States Social Security Number. It is considered confidential information and will not be publicly disclosed; 
it may be used to verify inter-state licensure. 

         Sole Proprietorship Partnership                                  Corporation                             LLC 

                                                        Date of Birth                 Social Security Number          % of 
         Full Name                              Address (Sole Proprietorship/               (Sole Proprietorship/ 
                                                        Partners Only)                      Partners Only)            Ownership 

PART IV  Insurance 

Give proof of current general liability insurance to register as a General Contractor.  AS 08.18.101(a)(2) & (b). 

         I have completed the attached Certificate of Insurance Coverage form (#08-4815a) or attached a certificate issued by my 
         provider to this application as proof of public liability and property damage insurance covering contracting operations in 
         this state in the sum of not less than $20,000 for damage to property, $50,000 for injury, including death, to any one 
         person, and $100,000 for injury, including death, to more than one person. 

PART V   Workers’ Compensation 
Doing Business As 
(DBA): 

If your business uses employee labor, or if your business is a corporation or LLC, you must provide proof of workers compensation 
insurance by a certificate of insurance issued by a carrier authorized by the Alaska Division of Insurance to transact business in Alaska. 
This certificate must include the following six items: 1) name of the insured exactly as licensed, 2) the DBA, 3) name of the insurance 
provider, 4) policy number, 5) commencement date and 6) expiration date.  

A policy with "AOS" or "All Other States" endorsement will only be accepted if the certificate specifically states, "covers activities in 
Alaska.” 

08-4815 (Rev. 9/30/2021)                        General Contractor Registration Application                            Page 2 of 4 

PART V   Workers’ Compensation                (continued) 

Are you a sole proprietor or partnership with employees?                                Yes                  No 

Are you a Limited Liability Company (LLC) or Corporation with employees?   
Please note: There are no exemptions for family, friends, or non-residents, or for part-
time or temporary jobs.  Do not classify workers as “independent contractors” without   Yes                  No 
calling the Alaska Workers’ Compensation Division Special Investigations Unit at (907) 
269-4002.

If YES to either of the above questions, please check the appropriate box below: 

      Sole Proprietorship 

      I am a sole proprietor and have workers compensation insurance coverage for all my employees, excluding myself as the 
        owner, and I have attached the necessary certificate to this application. 
      I am a sole proprietor and have workers compensation insurance coverage for all my employees including myself, and 
      I have attached the necessary certificate to this application. 

      Partnership 

      We are a partnership and have workers compensation insurance coverage for all employees, excluding the owners, and 
      we have attached the necessary certificate to this application. 
      We are a partnership and have workers compensation insurance coverage for all employees including the owners, and 
      we have attached the necessary certificate to this application. 

      Limited Liability Company (LLC) 

      We are an LLC and have workers compensation insurance coverage for all employees excluding any members who own 
      10% or greater of this company (members who own 9% or less are required to be covered by workers compensation 
      insurance), and we have attached the necessary certificate to this application. 

      Corporation 

      We are a Corporation and have workers compensation insurance coverage for all employees excluding any officers or 
      members who own 10% or greater of this company (officers or members who own 9% or less are required to be covered 
      by workers compensation insurance), and we have attached the necessary certificate to this application. 

PART VI  Bonding 

A bond of $25,000.00 is required to be registered as a General Contractor pursuant to AS 08.18.071. 

Please check the appropriate box below: 

     I have provided original documentation or a copy of my Surety Bond form (#08-4815b). 

-or-  
     I have provided an original Time Certificate of Deposit or Savings Passbook issued by a bank or trust company authorized 
     to do business in Alaska.  The certificate or passbook must read “State of Alaska in Trust for (contractor name).” 
-or-
     I have provided a cashier’s check for a cash deposit to the State of Alaska to be held in a trust account established by the 
     state along with the Assignment of Cash Deposit form (#08-4815c). 

08-4815 (Rev. 9/30/2021)                General Contractor Registration Application                              Page 3 of 4 

                THE  TATES
                         of 
                                                Department of Commerce, Community, and Economic Development 
                                                Division of Corporations, Business and Professional Licensing                
                            ALASKA 
                                          Construction Contractors Program 
                                          PO Box 110806, Juneau, AK 99811 
                                                Phone: (907) 465-2050 
                                      Email: ConstructionContractors@Alaska.Gov             
                            Website: ProfessionalLicense.Alaska.Gov/ConstructionContractors 

Notary Signature Page 

Applicant Name: 

PART VII        Notarized Signature 

I hereby certify that I am the person herein named and subscribing to this application and that I have read the complete 
application, and I know the full content thereof. I declare that all of the information contained herein, and evidence or 
other documents submitted herewith are true and correct.

I understand that any falsification or misrepresentation of any item or response in this application, or any attachment 
hereto, or falsification or misrepresentation of documents to support this application, is sufficient grounds for denying, 
revoking, or otherwise disciplining a license or permit to practice in the state of Alaska.

I further understand that it is a Class A misdemeanor under Alaska Statute 11.56.210 to falsify an application and commit 
the crime of unsworn falsification.

A  person  who  makes  a  false  statement  on  this  application  may  be  subject  to  civil  and  criminal  penalties,  including 
prosecution for perjury (AS 11.56.200 & AS 11.56.230). 

                            Owner, Corporate 
Notary Stamp                Officer, or Member 
                            Printed Name: 
                            Owner, Corporate 
                            Officer, or Member 
                            Signature: 
                                                                                            Subscribed and 
                            Notary Public for                                               Sworn to Before 
                            State of:                                                       me on this Day: 

                            Notary’s Signature:                                             My Commission 
                                                                                            Expires: 

08-4815 (Rev. 9/30/2021)                        General Contractor Registration Application                  Page 4 of 4 

                        THE  TATES
                        of 
                                                    Department of Commerce, Community, and Economic Development 
                                                    Division of Corporations, Business and Professional Licensing                
                           ALASKA 
                                     Construction Contractors Program 
                                     PO Box 110806, Juneau, AK 99811 
                                                    Phone: (907) 465-2050 
                                     Email: ConstructionContractors@Alaska.Gov         
                           Website: ProfessionalLicense.Alaska.Gov/ConstructionContractors 

Certificate of Insurance Coverage 

Submit this completed original form or a Certificate of Insurance issued by your provider with the Construction Contractor 
Application. 

Contractor Name: 

DBA: 

Policy Number(s): 

Amount Insured: 
(Per AS 08.18.101) 

Effective Date (Start):                                     Effective Date (End): 

By the signature below we hereby certify that we are a duly authorized casualty insurer eligible to write business in the State of 
Alaska and have written a public liability policy of not less than the limits required under AS 08.18 on behalf of the Construction 
Contractor/DBA named above for registration as a General Contractor under the policy information listed above. 

In the event the above policy is cancelled for any reason, we agree to furnish the Department of Commerce, Community, and 
Economic Development, Construction Contractors Section, at the above address, a NOTIFICATION OF CANCELLATION at least 30 
day before the effective date of that cancellation. 

Name of Insurance 
Carrier (Not Agency): 
                             Street                   City                              State    Zip 
Address: 

Signature of 
                                                                                       Date: 
Authorized Agent: 

08-4815a (Rev. 9/30/2021)                           Certificate of Insurance Coverage                           Page 1 of 1 

                      THE  TATES
                      of 
                                              Department of Commerce, Community, and Economic Development 
                                              Division of Corporations, Business and Professional Licensing                
                           ALASKA 
                                              Construction Contractors Program 
                                              PO Box 110806, Juneau, AK 99811 
                                              Phone: (907) 465-2050 
                                  Email: ConstructionContractors@Alaska.Gov              
                           Website: ProfessionalLicense.Alaska.Gov/ConstructionContractors 

Construction Contractor Surety Bond (Required by Construction Contractor Statute AS 08.18.07) 

Principal (Applicant) 
                                                                                         Title: 
Name: 

DBA Name: 
                                                                            mm/dd/yyyy                   mm/dd/yyyy 
                                              Effective                                  Expiration 
Bond #:                                       Date:                                      Date: 

KNOW ALL MEN BY THESE PRESENTS that we, the above-named construction contractor, as principal, and the agency named below, as 
surety, are held firmly bound to the State of Alaska, in the sum of TWENTY-FIVE THOUSAND DOLLARS ($25,000) lawful money of the United 
States, for the payment of which, well and truly to be made, we and each of us, bind ourselves, our heirs, executors, administrators, 
successors and assigns, jointly and severally, firmly by these presents.  
THE CONDITIONS OF THE ABOVE OBLIGATIONS ARE SUCH THAT: Whereas, the above bound principal has applied to, or is about to obtain 
from,  the  State  of  Alaska  for  registration  as  a  General  Contractor  pursuant  to  AS  08.18.011  and  the  acts  amendatory  thereof  and 
supplemental thereto: 
NOW THEREFORE, if the State of Alaska shall register the above bounden principal as a General Contractor and that principal shall faithfully 
and honestly act a General Contractor in accordance with law, and fully complies with the provisions of AS 08.18.071 of the State of Alaska 
and acts thereof and supplemental thereto, and if the principal shall fully indemnify and save harmless from loss the State of Alaska and any 
person who may have cause of action against the principal for any malfeasance or misfeasance in the conduct of a General Contractor, then 
this obligation to be voided, otherwise to remain in full force and virtue. 
LIABILITY UNDER THIS BOND commences on the date listed above and shall be continuous until the registration license is revoked or 
otherwise terminated by the Department of Commerce, Community, and Economic Development, State of Alaska (the Department) or until 
written notice from the Surety is received by the Department provided the bond has been cancelled for lawful reasons. The bond shall apply 
to all liens and liabilities which arise during the effective period of the bond to which the bond is applicable under law, even if the judgment 
liens are foreclosed or valid liens settled after the effective period of the bond or liabilities are enforced after the effective period of the 
bond.  
IN WITNESS OF THE ABOVE, principal and surety have signed and sealed this bond on the date listed below. 

Principal (Applicant) 
                                                                                          Date: 
Signature: 
                                                                            Attorney-in-
Surety Name: 
                                                                            Fact: 

Surety Signature:                                                                         Date: 

Agency Name: 

Agency Address: 

THIS BOND IS NOT VALID UNTIL SIGNED BY BOTH PRINCIPAL AND SURETY. 
Surety's Power of Attorney must be attached.                                                         Surety’s Seal 
                                                                                                     (Required) 

08-4815b (Rev. 9/30/2021)                     Surety Bond                                                           Page 1 of 1 

                 THE  TATES                                                                                     CON 
                 of                                                                              FOR DIVISION USE ONLY 
                     ALASKA 
                 Department of Commerce, Community, and Economic Development 
                 Division of Corporations, Business and Professional Licensing 

   Construction Contractors Program 
   PO Box 110806, Juneau, AK 99811 
   Phone: (907) 465-2050 
   Email: ConstructionContractors@Alaska.Gov     
   Website: ProfessionalLicense.Alaska.Gov/ConstructionContractors 

Assignment of Cash Deposit 

12 AAC 21.120(a)(2): The Time Certificate of Deposit MUST: 
  Be payable to “State of Alaska in trust for”
  Be issued for at least three years and be automatically renewable
  Be signed by BOTH the contractor and the bank

 For value received, the undersigned assigns and transfers to the State of Alaska the following: 

 Deposit Number:                                                    Amount of Deposit: 

 Bank Name: 
                            Street                           City                State                      Zip 
 Bank Address: 

 BANK REPRESENTATIVE 
 By signature below, the issuing institution agrees that only the State of Alaska, upon presentation of written notice, shall cause the release of any 
 and all funds described above. 
 Bank Representative 
 Printed Name: 
 Bank Representative 
                                                                                                 Date: 
 Signature: 

 Owner or Entity 
                                                                    Email Address: 
 Name: 
 Official DBA:                                                      Phone Number: 

 If a construction contractor license number has been issued to you, enter it here: ____________________. 
 APPLICANT AND NOTARY 
 The undersigned irrevocably constitutes and appoints the State of Alaska by and through its duly authorized agents as his/her/their Attorney-in- Fact to do all things 
 necessary and appropriate to effectuate the purposes of this assignment. It is agreed and understood that this assignment shall remain in full force and effect for 
 the period of time provided by law for actions against the surety bond. The person who executed the below and foregoing Assignment of Cash Deposit acknowledged 
 to me that it was signed and sealed freely and voluntarily for the uses and purposes stated in the assignment.  All persons whose names appear on the certificate or 
 passbook account must sign below. 
                          Applicant’s 
   Notary Stamp           Signature: 
                          Notary Public                                        Subscribed and Sworn to 
                          for State of:                                        Before me on this Day: 
                          Notary’s 
                                                                               My Commission Expires: 
                          Signature: 

08-4815c (Rev. 9/30/2021)                      Assignment of Cash Deposit                                        Page 1 of 1 

              THE STATE                                                                                                    FOR DIVISION USE ONLY 
                of 
                  ALASKA 
              Department of Commerce, Community, and Economic Development 
              Division of Corporations, Business and Professional Licensing 

        State of Alaska 
        Department of Commerce, Community, and Economic Development 
        Division of Corporations, Business and Professional Licensing 
        PO Box 110806, Juneau, AK 99811 
        Phone: (907) 465-2550 

Credit Card Payment Form 

All major credit cards are accepted. For security purposes, do not email credit card information. 
Include this credit card payment form with your application.  

Name of Applicant or Licensee:      _________________________________________________________________________________________________________________________ 

Program Type:   ________________________________________________________       License Number (if applicable):                      ________________________________ 

 I wish to make payment by credit card for the following(check all that apply):                                                                    AMOUNT    

        Application Fee:  _________________________________________________________________________________________________                __________________________ 

        License or Renewal Fee:     _________________________________________________________________________________                      __________________________ 

        Other (name change, wall certificate, fine, duplicate license, exam, etc.):        

           1. _____________________________________________________________________________________________________________________ __________________________ 

           2. _____________________________________________________________________________________________________________________        __________________________

                                                                                               TOTAL:            ___________________________ 

Name (as shown on credit card):   ________________________________________________________________________________________________________________________ 

Mailing Address:            ___________________________________________________________________________________________________________________________________________________ 

Phone Number:   ________________________________________________________      Email (optional):               _______________________________________________________ 

Signature of Credit Card Holder:              _____________________________________________________________________________________________________________________ 

 08-4438                   Rev 12/26/18                   Credit Card Payment Form (all major cards accepted) 

   CREDIT CARD INFO:  Your payment cannot be processed unless all fields are completed! 

   1.    Account Number:                                                                                      All four fields MUST 
                                                                                                                                    be completed! 
   2.    Expiration Date:
                                                                                                              This section will be 
   3.    Billing ZIP Code:
                                                                                                              destroyed after the 
   4.    Security Code:                                                                                       payment is processed.