Nevada State Contractors Board Revised 10/19
Application to Activate an Inactive Status License
Page 1 of 6
NEVADA STATE CONTRACTORS BOARD
5390 KIETZKE LANE, SUITE 102, RENO, NEVADA, 89511 (775) 688-1141 FAX (775) 688-1271, INVESTIGATIONS (775) 688-1150
2310 CORPORATE CIRCLE, STE. 200, HENDERSON, NEVADA, 89074, (702) 486-1100 FAX (702) 486-1190, INVESTIGATIONS (702) 486-1110
APPLICATION TO ACTIVATE AN INACTIVE STATUS LICENSE
This application must be made within eight (8) years from the date that the inactive status was granted. If it has been more
than eight (8) years, you must reapply. If subsequent to receiving an inactive status, your license was suspended, revoked, or
otherwise disciplined, you may not be eligible to reinstate this license.
You cannot engage in any work or activities that require a contractor’s license until this application has been approved, and the
license has been returned to active status.
If there has been a change in your business entity, for example, you have formed a partnership or a corporation, or if
a partner has been added to or deleted from your business, you will be required to apply for a new license.
1. Please type or print in ink when completing this form.
2. Make sure the application is properly signed.
3. Read all instructions carefully, and include all required supporting documentation. The Board desires to provide courteous
and timely service to all applicants. To maximize its efficiency and the level of service, the Board will process complete applications
only. Incomplete applications will be returned to you.
4. Leave no space blank. If a particular question or request for information does not apply to you, put a short line in the blank space
to indicate the question has received your attention.
5. Attach any additional supporting applications that may be necessary.
6. Renewal Fees: Please contact an office of the Board for a determination of the appropriate Renewal fee.
Legal Business Name: _________________________________________________________________
(Use name as it currently appears on the records of the NSCB)
Principal Place of Business (Is this a new address Yes No)
Physical Address: _______________________________________________________________________
Street Address City County State Zip Code
Mailing Address: ________________________________________________________________________
Street Address or P.O. Box City County State Zip Code
License Number: _____________________ Phone: _____________________________
(A separate application is required for each license)
SECTION 2 – RESIDENT AGENT
Resident Agent: You must provide the name of a person physically located in the State of Nevada for service of process, including the
street address or other physical location in the State of Nevada and, if different, the mailing address.
Name of Resident Agent: _____________________________________________________________________________
Physical Address: ___________________________________________________________________________________
(Street Address) (City) (State) (Zip)
Mailing Address: ____________________________________________________________________________________
(Street Address or P.O. Box) (City) (State) (Zip)