Master Electrician & Journeyman Application/renewal Notice - City Of Sulphur printable pdf download

RDS

Attn: City of Sulphur License Renewal

9618 Jefferson Highway, Suite D #334

Baton Rouge, LA 70809

Phone: 800-556-7274

Fax: 844-528-6529

YEAR _________CITY OF SULPHUR (1680) MASTER ELECTRICIAN &

JOURNEYMAN APPLICATION/RENEWAL NOTICE

Please complete this application and return along with your payment

Current Date: ____________________________

RDS Account Number: _____________________

Business Name:____________________________________

Check here if you no longer operate in the City.

Business Address: __________________________________

Return Date Discontinued: _______/_____/_____.

_________________________________________________

Please return form to RDS.

Dear Business Owner,

This is the application/renewal notice for your Master Electrician/Journeyman License. Please note that the license will expire

December 31 of the year issued. Please note that this is not to obtain your occupational license. If you are in business for

yourself, a contractor or subcontractor, and your business is located in the City Limits of Sulphur, you will need an occupational

license in addition to your Master Electrician/Journeymen contractor’s license.

PLEASE ANSWER THE FOLLOWING QUESTIONS

YES

SEE BACK FOR REQUIREMENTS

( )

(

)

Have you attached copies of all documents listed on the CONTRACTOR CERTIFICATION CHECKLIST?

( )

(

)

Is your business located in the City limits of Sulphur? If so, you must purchase an Occupational

License in addition to the Master Electrician License. See Fee Schedule at

for

details.

( )

(

)

Do you have any journeyman electricians working with you? List Names (attach additional sheet if needed):

______________________________________________________________________________________________

FEES

MASTER ELECTRICIAN LICENSE

$50.00

JOURNEYMAN ELECTRICAN LICENSE

$ 5.00

Calculate License Fee Instructions:

Schedule: 999999.50 Master Electrician, 999999.51 Journeyman

Step 1. Master Electrician License Fee:

$ ____50.00 ______

Step 2. Total Number of Journeymen (must provide names):

_______________

Step 3. Multiply Number of Journeymen x $5.00

$ _______________

Step 4. Total Remittance (Add Step 1 and Step 3 for Total):

$________________

Make check payable to “Tax Trust Account.” Remit payment to

RDS. Attn: City of Sulphur License Renewal,

9618 Jefferson Highway, Suite D #334, Baton Rouge, LA 70809

Signature of Applicant: _________________________________________ Title:__________________Date: ________________

Print Name of Applicant: ________________________________________ Telephone: _________________________________

Returned Check Disclaimer: Effective July 1, 2010, each returned item received by RDS due to insufficient funds will be electronically represented to the presenters’ bank no more than

two times in an effort to obtain payment. RDS is not responsible for any additional bank fees that will accrue due to the resubmission of the returned item. Please see the full returned

check policy at /taxpayer/return-check-disclaimer.

Master Electrician & Journeyman Application/renewal Notice - City Of Sulphur

Related Articles

Related forms

Related Categories