Home Inspector Application Form

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From The Office of Alabama Building Commission
HOME INSPECTOR APPLICATION
For Office
Initial Application
Renewal Application
Date Received
Date Issued
Use Only
Applicant Name
Home Inspector License #
(Please Type or Print in Dark)
For Office Use Only
Street Address or P. O. Box
Apartment #
City
State
Zip Code
Home Telephone #
Social Security No.
Employer I.D. No
Business Name
Street Address or P. O. Box
Suite #
City
State
Zip Code
Business Telephone #
Applicant is Doing Business as:
Individual
L. L. C.
Partnership
Franchise
Corporation
Proprietorship
If you checked above that the business is a partnership, you must list the name and address of each
partner below
OR
If you checked above that the business is a corporation, L.L.C., or franchise, you must list the names
and address of the corporate officers and the statutory agent for service. (Please place a check mark
[a] by the statutory agent.)
1.
3.
2.
4.
Insurance Certificate:
The enclosed insurance certificate must be completed and submitted to our office, as proof of your
having obtained the required insurance.
Name of Insurance Company:
Policy No.:
Has applicant successfully completed the American Society of Home Inspectors Standards and Ethics
Examination?
Yes
No
Has applicant successfully completed the National Home Inspector Examination?
Yes
No
Please submit copies of required exams to show proof of compliance.

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