PLEASE READ THE FOLLOWING INFORMATION CONCERNING THE COMPLETION OF THIS FORM
PLEASE COMPLETE ALL AREAS OF THE FORM EXCEPT FOR THE SHADED AREA AT THE BOTTOM.
FORM SHOULD BE TYPED OR PRINTED LEGIBLY. FORM SHOULD BE DATED AND SIGNED BY AN
OWNER, PARTNER, OR OFFICER OF THE BUSINESS.
FORM WILL INITIATE THE PROCESS FOR REGISTERING YOUR BUSINESS WITH THE MUNICIPALITY.
IF YOUR BUSINESS WILL HAVE A PHYSICAL LOCATION WITHIN THE MUNICIPALITY, PLEASE USE
THAT ADDRESS ON THE FRONT OF THIS FORM. (Complete separate forms for each physical location in the
municipality, if so required.)
AFTER COMPLETING THIS FORM IT CAN BE MAILED, SENT BY FAX, OR WHERE POSSIBLE, SENT BY
ELECTRONIC MAIL TO THE MUNICIPALITY.
UPON RECEIPT OF THE COMPLETED FORM, THE MUNICIPALITY WILL PROVIDE ANY ADDITIONAL
FORMS AND INFORMATION REGARDING OTHER SPECIFIC REQUIREMENTS TO YOU IN ORDER TO
COMPLETE THE LICENSING PROCESS.
ALL LICENSE RENEWALS ARE DUE JANUARY 1 AND DELINQUENT AFTER JANUARY 31 (OR FEBRUARY
15), WITH THE FOLLOWING EXCEPTION:
INSURANCE COMPANY LICENSE DUE JANUARY 1, DELINQUENT AFTER MARCH 1
This form is intended as a simplified, standard mechanism for businesses to initiate contact with a municipality
concerning their activities within that municipality. A business license will be required prior to engaging in
business. If a business intends to maintain a physical location within the municipality, there are normally zoning
and building code approvals required prior to the issuance of a business license.
In certain instances, a business may simply be required to register with the municipality to create a mechanism for
the reporting and payment of any tax liabilities. If that is the case, you will be provided the materials for that
registration process.
The completion and submission of this form does not guarantee the approval or subsequent issuance of a license to
do business. Any prerequisites for a particular type and location of the business must be satisfied prior to licensing.
SHOULD THERE BE ANY QUESTIONS CONCERNING THE COMPLETION OF THIS FORM OR THE
LICENSING AND/OR REGISTRATION PROCESS, PLEASE CALL THE NUMBER ON THE FRONT OF THIS
FORM TO OBTAIN MORE DETAILED EXPLANATION.
For Contractor’s Use Only
All contractors must complete the following:
State Home Builders #
State General Contractors #
State Electrical License #
State Plumbers License #
State HVAC License #
If bonded, please attach a copy to this application. Insurance Company
Is this a one-time job? ¨ Yes ¨ No If yes, location?
Total Contract Amount:
Do you give the City of Troy permission to release your name, address, and contact information to
individuals and/or companies requesting information on Contractors working within the City of Troy?
¨ Yes ¨ No Initials
Please list any additional conditions?
If you are a General Contractor, remember that the General Contractor is responsible for ALL Sub-Contractors,
scheduled to work on a project site, to be licensed before power is turned on at said project site.